Sciatica Treatment

Sciatica Treatment

Early treatment of sciatica is crucial to prevent the progression of symptoms. Sciatica treatment options range from nonsurgical methods to surgical interventions, with nonsurgical approaches typically being the first line of treatment. Surgical intervention may be considered when there’s a severe underlying cause or progressive neurological deficits like leg weakness.

Nonsurgical Treatment for Sciatica

Initial treatments for sciatica often involve a combination of:

  • Physical Therapy: Incorporating strengthening, stretching, and aerobic conditioning exercises.
  • Medications: Pain relievers, muscle relaxants, and anti-inflammatories.
  • Therapeutic Injections: Targeting pain relief and inflammation reduction.
  • Alternative Therapies: Such as acupuncture or chiropractic care.

Acute sciatica usually improves within 4 to 6 weeks with nonsurgical treatments. However, chronic sciatica lasting over 8 weeks may require a longer treatment duration, depending on the underlying cause.

Physical Therapy for Sciatica

Physical therapy plays a pivotal role in most sciatica treatment plans. A tailored physical therapy program aims to:

  • Strengthen Core Muscles: Including the lower back, abdomen, buttocks, and hips.
  • Enhance Core Strength: Improving overall stability and support.
  • Stretch Muscles: Especially tight and inflexible ones like the hamstrings.
  • Promote Fluid and Nutrient Exchange: Through light aerobic exercises such as walking, swimming, or pool therapy.


Engaging in a structured physical therapy regimen can significantly alleviate sciatica symptoms and improve overall mobility and function.