Sciatica Treatment
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Summary: Sciatica treatment is ultimately directed at the following: Reducing/eliminating nerve root pressure/irritation. Reducing/controlling the associated inflammation.

Sciatica Treatment

Before considering any type of treatment for sciatica, it is imperative that you attain an accurate diagnosis of the underlying cause.

Sciatica treatment is ultimately directed at the following:

1. Reducing/eliminating nerve root pressure/irritation.
2. Reducing/controlling the associated inflammation.

1. Areas of spinal or extremity joint dysfunction that may contribute to compensatory stress/irritation on the lumbar spinal joints and muscles.  For example, even if you have a disk herniation, abnormal spinal joint function can lead to muscle tightness/muscle spasm in the low back area which ultimately affects the lumbar spine disks.
2. Muscle strength and flexibility of the legs, pelvis and back. For example, excessively tight hip flexor muscles can adversely affect the pelvis creating stress and irritation on the lumbar spine disks.
3. Inflammation.  Typically, your body tends to "over-react" and produce excessive biochemicals of inflammation when you have an injury.  Although inflammation is part of healing, it is critical to prevent the inflammation from becoming excessive or chronic.

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Unfortunately, in some cases of sciatica, surgery such as, microdiscectomy or lumbar discectomy is necessary to remove the portion of the disc that is "pinching" or irritating the nerve root. Usually, a trial of epidural steroid injections is attempted prior to surgery.

It is important to realize though, even if you undergo surgery, some, if not all, of the treatment outlined above may be necessary to prevent future sciatica symptoms and prevent other neuromusculoskeletal pain conditions.

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