The terrible sciatica can usually be successfully treated for a brief period of rest and decreased activity, followed by exercises to improve mobility and strengthen the back. If symptoms persist, physical therapy may be helpful. To relieve the inflammation around the nerve, it is recommended that you alternate using hot and cold compresses.
You may also need to take a painkiller such as acetaminophen (Tylenol) for pain or anti-inflammatory drugs like naproxen (Naprosin) Diclofenado (Voltaren) or aspirin to relieve pain and inflammation. Medicines to treat chronic pain of nervous origin may be useful. They include amitriptyline or gabapentin (Neurontin). In more severe cases, an injection of a long-acting anesthetic with a steroid medication can provide relief. These injections are typically performed in centers that specialize in treating pain. Rarely, surgery is needed, for example, when the sciatica is caused by a herniated disc.