Treatment for sciatica is aimed at helping to manage the pain without long-term use of medications. At least a few days of bed rest is needed for the inflammation to go away. Other treatments for sciatica include addressing the underlying cause, medications to relieve pain and inflammation and relax muscles, and physical therapy.
Nonsteroidal anti-inflammatory medications (NSAIDs) such as ibuprofen, aspirin or muscle relaxants may help. It might help to apply gentle heat on the painful muscles. It is necessary to find positions that are comfortable and to be as active as possible. Movement helps to reduce inflammation. Most of the time, the condition will get better within a few weeks. Physical therapy with stretching exercises be started as soon as possible.
If the pain is severe and very disabling and cannot be controlled with simple painkillers and/or anti-inflammatory medication, the doctor may suggest an epidural injection, which is an injection into the spine, which soothes the nerves that are causing the pain.
Surgery is necessary only if after 3 months or more of treatment the disabling leg pain persists. A part of the herniated disc may be removed relieve the pressure on the nerve. The surgery may be done under local, spinal or general anaesthesia. Avoid driving, excessive sitting, lifting or bending forward for at least a month after surgery
. The doctor may suggest some exercises
to strengthen the back.