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Correspondence
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Volume 337:1396-1398 November 6, 1997 Number 19
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Positive and Negative Gravitational Forces and Herniated-Disk Sciatic Pain

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To the Editor: I recently encountered a stunt pilot with an L4–5 herniated disk, documented by magnetic resonance imaging (MRI), who had sciatic pain and experienced exacerbation of symptoms when pulling out of a sharp dive, at which point his body was subjected to up to 5 g's. The pilot empirically found he could alleviate this pain by climbing to 10,000 ft and performing an outside loop, experiencing as much as -3 g's. These experiences were repetitively duplicated in the course of his profession, which was performing aerobatics in high-performance fighter planes at military and civilian air shows.

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