Management of sciatica: a shared-decision

How to best manage sciatica is not a simple question to answer. Ramaswami, et al. presented the case of Mr. Winston, a 50-year-old patient with low back pain radiating into his L leg with positive nerve root tension signs and a left-sided L4–L5 herniated disk (1). In managing Mr. Winston’s sciatica, Dr. Ramaswami poses two options: to have surgery or to not have surgery.