As an introduction to our subject we can do no better than to quote D'Orsay Hecht,1 who says:
Nowhere in the domain of nerve pains is the agony of neuralgia, its chronicity and rebelliousness to treatment so well illustrated as in tic douloureux and sciatica.
Our experience with private material and at the Hospital for Deformities and Joint Diseases, in which we have had unusual opportunities to observe and to study this distressing disease, confirms this statement in every particular. The patients haunting the portals of every institution and appealingly craving for the relief which is so tardy in coming are indeed objects of commiseration. Any treatment which promises deliverance from its uncompromising clutches is worthy of our sincerest efforts.
Stimulated by the glowing reports of authoritative observers, both here and abroad, as to the value of perineural and epidural injections in sciatica, we decided to give the treatment
ROSENHECK C, FINKELSTEIN H. TREATMENT OF SCIATICA BY PERINEURAL INFILTRATIONS AND EPIDURAL INJECTIONS: AN ANALYSIS OF FIFTY CASES. JAMA. 1916;LXVII(27):2001. doi:10.1001/jama.1916.02590270021008
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