How is sciatica treated, and is there a cure?

Treating sciatica usually involves trying to decrease pain and increase mobility. Many treatments are things you can do yourself.

There are several treatment options if you have sciatica that won’t go away or is more severe. Surgery might be an option if your case is severe or other treatments don’t help.

Depending on the cause, milder cases of sciatica usually get better with self-treatment.

NOTE: Pain that’s moderate to severe, with numbness and tingling or muscle weakness are all symptoms that need professional medical care. You shouldn’t try to self-treat them.

Self-treatments can include:

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If the self-care treatment approach doesn’t help after a few weeks, you should talk to a healthcare provider.

Conservative treatments are a step up from self-treatment. Your healthcare provider can offer these as options if self-care wasn’t helpful or if your symptoms are severe enough to need more involved care.

Conservative treatments can involve similar treatments to self-care, but with your healthcare provider guiding you. They can also involve the following:

Surgery may be the best option when sciatica is more severe. Usually, healthcare providers don’t recommend surgery unless you have symptoms that indicate nerve damage is happening or imminent. They may also recommend surgery if you have severe pain that prevents you from working or going about your usual routine, or if your symptoms don’t improve after six to eight weeks of conservative treatment.

Surgery options to relieve sciatica include:

The possible complications and side effects depend on many factors, especially the specific treatments used, the severity of your symptoms, what caused your sciatica and more. Your healthcare provider is the best person to tell you about the possible side effects and complications that are most likely. They can also advise you on managing, minimizing or avoiding them.

Recovery time from sciatica depends on the specific treatment, the severity of your symptoms, their cause and more. Many cases of sciatica go away within four to six weeks without needing professional medical treatment.

More severe cases may also take weeks or months to get better, especially if you have more severe symptoms. Waiting too long to get treatment for sciatica — generally more than six months — also makes a good outcome less likely, so it’s important not to wait too long to talk to a healthcare provider.