Balneophysiotherapy treatment in Sciatica Neuralgia

Sciatica neuralgia is a debilitating condition that affects the sciatic nerve, often causing intense lower back pain radiating through the leg. This comprehensive therapeutic outline integrates balneophysiotherapy—a rehabilitative approach combining spa-based treatments, physical modalities, and structured recovery techniques.

The content begins by defining the condition and its complex etiology, including both mechanical and inflammatory causes. Detailed symptom analysis is supported by clinical, radiological, and laboratory diagnostic criteria. A section on differential diagnosis helps distinguish sciatica from other similar neurological conditions.

The therapeutic section introduces a multi-disciplinary care plan, emphasizing curative protocols such as hygiene-dietary measures, mental health support, anti-inflammatory pharmacotherapy, and orthopedic interventions. Special attention is given to physical rehabilitation, incorporating localized thermotherapy, electrotherapy, massage, kinetotherapy, and medical gymnastics.

In advanced stages, occupational therapy and spa therapy (balneoclimatology) are prescribed to boost neuromuscular function, reduce inflammation, and improve quality of life. This is an essential reference for physiotherapy students, neurology residents, and practitioners involved in musculoskeletal rehabilitation.

---

Table of Contents

I. Definition of the Disease
II. Etiology
III. Symptomatology
  • a) History of the Current Disease
  • b) Patient History
  • c) Present State
IV. Criteria for Supporting the Diagnosis
  • a) Clinical Criteria
  • b) Radiological Criteria
  • c) Laboratory Criteria
V. Differential Diagnosis
VI. Evolution of the Disease
VII. Prognosis
VIII. Treatment
  • Prophylactic Treatment
  • Curative Treatment:
   a) Hygiene-Diet Recommendations
   b) Mental State Correction
   c) Anti-inflammatory Medication
   d) Orthopedic Management
   e) Surgical Interventions (if necessary)
   f) Physical & Recovery Therapy
    – General and Local Thermotherapy
    – Electrotherapy
   g) Massage Techniques
   h) Kinetotherapy
   i) Medical Gymnastics
   j) Occupational Therapy
IX. Spa Cure
X. Bibliography