What are the treatment options for sciatica?

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  1. In most cases, sciatica will go away by itself with self-care practices like exercising, stretching, over-the-counter medications, and applying cold packs or heat. In some cases, your doctor may recommend other treatments, such as physical therapy or prescription medications. If your sciatica is still not responding to these treatments within three months, your doctor may recommend a more aggressive treatment. This may include corticosteroid injections, which help to reduce inflammation, or surgery. Surgery is usually left as a last resort when no other treatments are working or when serious complications have developed.

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    In most cases, sciatica will go away by itself with self-care practices like exercising, stretching, over-the-counter medications, and applying cold packs or heat. In some cases, your doctor may recommend other treatments, such as physical therapy... More
  2. Dr. Anthony Komaroff
     
    Common "home remedies" for sciatica include:
    • Losing excess weight
    • Applying ice
    • Stretching and exercising, with the goal of strengthening the muscles of the abdomen and low back
    • Avoiding sitting too long, especially on a hard surface
    • Changing your mattress to one that is firmer and more supportive
    • Massage
    • Yoga
    Avoid staying in bed too long. Prolonged best rest is unhelpful and may even make things worse.

    Standard medical approaches to treatment include:
    • Rest, balanced with stretching and exercise (often with a physical therapist)
    • Pain relievers, such as ibuprofen, naproxen or acetaminophen
    • Drugs for nerve pain, such as amitriptyline (Elavil) or gabapentin (Neurontin)
    • Injections of corticosteroids near the area of the compressed nerve
    • Surgery to repair a slipped disc or to decompress spinal stenosis (though surgery is generally considered a treatment of last resort and only in cases in which a surgically correctable abnormality is present)
    If you are bothered by sciatica, talk to your doctor about your treatment options, including home remedies.
    More Related Answers from Dr. Anthony Komaroff
    Common "home remedies" for sciatica include: Losing excess weight Applying ice Stretching and exercising, with the goal of strengthening the muscles of the abdomen and low back Avoiding sitting too long, especially on a hard surface Changing your... More