Sciatica pain radiates from the lower spine down the back of your leg. Pain from the sciatic nerve can vary from sharp and jolting to a mild ache. Some sufferers find it worsens when they perform small actions, like coughing or sneezing. In addition to pain, sciatica can cause numbness, muscle weakness, or tingling. While surgery offers a treatment option for some with sciatica, results can be inconsistent and often include a long recovery. Here we will discuss the nonsurgical therapy options for sciatica pain.
What Is Sciatica?
Sciatica refers to pain stemming from the sciatic nerve. Beginning in the lower spine, the sciatic nerve splits and extends down both legs, all the way to the feet, making it the largest nerve in the body.
Often sciatica results from a problem in the lumbar spine, such as a herniated or bulging disc that compresses the nerve and creates pain that travels throughout one side of the body.
Nonsurgical Therapy Options for Sciatica
Once sciatica is diagnosed correctly, patients can explore treatment options. Frequently, patients can find relief without surgery. Some of the most effective non-surgical treatments include:
Physical Therapy
Often, physical therapy is the first treatment a physician recommends for those suffering from sciatica. The exercises and movements used in physical therapy strengthen and restore the range of motion to the core, buttocks, pelvis, and legs.
Physical therapy focuses on reducing nerve and muscle spasms, improving mobility, fostering the spine’s healing, and restoring proper function to the lumbar spine and sacroiliac joint.
Medications
Over-the-counter or prescription anti-inflammatory medications, such as acetaminophen, ibuprofen, and naproxen, and prescription medications, such as muscle relaxants, may offer patients temporary relief from their sciatica pain.
In addition, patients can use some topical medications in conjunction with oral medications, including:
- Menthol
- Capsaicin
- Camphor
- Methyl salicylate
Topical treatments often provide pain relief with fewer side effects than oral medications.
Steroid and Nerve Blocking Injections
Steroid and nerve blocking injections are common and effective treatments to reduce pain and increase functionality temporarily.
A physician administers steroid injections and a local anesthetic into the space surrounding the nerve roots and spinal cord. Nerve blocking injections use live X-ray guidance to target the area where the nerve is compressed and turn off pain signals traveling to the brain.
Nerve blocks can be administered independently or in conjunction with steroid injections.
Research status and treatment decisions
Research into emerging medical approaches is ongoing. Early laboratory findings, small studies, or preliminary clinical results do not establish that a product or procedure is safe or effective for every person with this condition. Treatment decisions should account for the quality of the evidence, regulatory status, known risks, established alternatives, and the patient’s individual medical history.
Questions to discuss with a licensed clinician
- What diagnosis has been confirmed, and what else could be causing the symptoms?
- Which established treatment options are appropriate, and what are their expected benefits and risks?
- What evidence supports the specific product or procedure being considered?
- Is the proposed use FDA-approved for this exact purpose or being studied in a registered clinical trial?
- What side effects, costs, follow-up needs, and alternatives should be considered?
This article provides general educational information and is not medical advice. It does not diagnose, treat, cure, or prevent any condition, and it does not promise a particular outcome.