It is advisable to treat sciatica as early as possible in order to avoid the progression of symptoms. Sciatica treatment may include both nonsurgical and surgical methods. Typically, nonsurgical methods are tried first. Surgery may be indicated when the underlying cause is severe and/or progressive neurological deficits such as leg weakness occurs.

Nonsurgical Treatment for Sciatica

First line treatments of sciatica typically include some combination of physical therapy, medications, therapeutic injections, and alternative therapies.

Acute sciatica usually gets better with 4 to 6 weeks of nonsurgical treatment. For chronic sciatica with pain lasting over 8 weeks, treatment time may take longer and may depend on the underlying cause.

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Physical Therapy for Sciatica

Physical therapy incorporates a combination of strengthening, stretching, and aerobic conditioning and is a central component of almost any sciatica treatment plan. Therapeutic exercises may also be added to a physical therapy program

he goals of physical therapy and exercises for sciatica include:

• Strengthen the spine and muscles of the lower back, abdomen, buttocks, and hip.

• Increase core strength

• Stretch tight and inflexible muscles, such as hamstrings

• Encourage the exchange of fluids and nutrients in the body by light aerobic exercises such as walking, swimming, or pool therapy