Sciatica is a back problem which manifests by pain in the lower back and buttocks, radiating down through the thighs, legs and ankles. It is often characterized as shooting pain accompanied by tingling, burning, numbness or weakness in the lower limbs. It becomes chronic sciatica when it persists more than a few months, or when patients experience recurring episodes of pain, interspersed with symptom-free periods. The on-going relentless pain and limiting mobility of chronic sciatica can contribute to anxiety disorders, serious depression and other emotional issues for the patient.

Many doctors do not consider chronic sciatica a disease or condition in itself, but rather a symptom of another disorder such as a herniated disc, muscle imbalance, lumbar spinal stenosis, spondylolisthesis, spinal osteoarthritis, or a spinal tumor. The sciatic nerve runs from the end of the spine into the legs and feet. Compression of this nerve from any cause, including the above listed conditions causes the symptoms.

One of the most common treatments is pain medication. NSAIDS, such as ibuprofen, are often prescribed on an on-going basis. Narcotic pain relievers are used for short periods, as there is a very real concern about addiction to this type of drug. If you can avoid taking these drugs you will be better off, instead look for natural anti-inflammatory solutions that contain herbal formulas.

Therapeutic physical therapy and exercises for sciatica can be helpful, especially in teaching the patient ways of sitting, standing and moving to help prevent triggering or aggravating leg or back pain. Therapists can also teach exercises to help build strength and increase flexibility. The TENS machine (transcutaneous electrical stimulation) can be used at the physical therapy facility or at home to provide relief. Deep tissue massage can also provide short-term relief, as do heating pads before sleeping.

Corticosteroid injections in the epidural area near the nerve roots can in some cases reduce inflammation and provide pain relief. Some patients have found relief in alternative natural treatments for sciatica such as acupuncture and chiropractic care for sciatica.

While rest can be helpful, doctors do not advise lengthy periods of bed rest. Mild physical exercise and exercises recommended for each individual by the physician or physical therapist are the most beneficial treatment, combined with the appropriate medications.