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May 2, 1914

Sciatica. A Fresh Study, with Notes of Nearly Seven Hundred Cases.

JAMA. 1914;LXII(18):1422. doi:10.1001/jama.1914.02560430052033

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This is perhaps the most original contribution relating to sciatica which has appeared for some time. The thesis sustained by the author is the rather startling one that sciatica is not a disease of the sciatic nerve at all, but in all cases an arthritis of the hip-joint. The author first quotes extensively from Gowers and Lawson and less fully from more recent writers for the purpose of giving a summary of present opinion concerning sciatica. He then presents his own conception of the disease and quotes very fully from the classic work of Hilton in order to explain why trouble in the hip-joint can cause pain in the knee, down the back of the leg, and in the heel, foot, etc. In other words, he shows that the pain of sciatica is a referred or reflected pain, and he calls to his aid Calder and Reid for the purpose

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