Who is best to treat sciatica?

Answered by Robert Flynn

When it comes to treating sciatica, there are several healthcare professionals who can help. The best person to treat your sciatica will depend on the severity of your pain and the underlying cause of your condition.

1. General Practitioner (GP): Your first point of contact should be your GP. They can assess your symptoms, perform a physical examination, and order any necessary tests to determine the cause of your sciatica. GPs can prescribe pain medications, anti-inflammatories, and muscle relaxants to help manage your pain. They may also refer you to a specialist if needed.

2. Physiotherapist: Physiotherapists are experts in treating musculoskeletal conditions, including sciatica. They can provide exercises and stretches to improve your posture, strengthen your core muscles, and alleviate pressure on the sciatic nerve. They may also use techniques such as manual therapy, ultrasound, or electrical stimulation to reduce pain and inflammation.

3. Chiropractor: Chiropractors focus on the relationship between the spine and the nervous system. They use spinal adjustments and manipulations to relieve pressure on the sciatic nerve and restore proper alignment. Some people find chiropractic treatments beneficial for relieving sciatic pain, but it may not be suitable for everyone.

4. Osteopath: Osteopaths use a holistic approach to treat various conditions, including sciatica. They aim to restore balance and function in the body by manipulating the musculoskeletal system. Osteopathic treatments can help relieve muscle tension, improve mobility, and reduce pain associated with sciatica.

5. Pain Management Specialist: If your pain is severe and other treatments have not been effective, your GP may refer you to a pain management specialist. These specialists have expertise in managing chronic pain conditions. They can offer a range of treatments, including nerve blocks, epidural steroid injections, or radiofrequency ablation to provide long-lasting pain relief.

6. Orthopedic Surgeon: In rare cases where sciatica is caused by a structural issue, such as a herniated disc, an orthopedic surgeon may need to be involved. Surgery may be considered if conservative treatments have not provided relief, or if there is a risk of long-term nerve damage. However, surgery is typically a last resort and is only recommended when other options have been exhausted.

7. Complementary and Alternative Therapies: Some people find relief from sciatica through complementary and alternative therapies such as acupuncture, massage therapy, or herbal remedies. While the evidence for these treatments may be limited, they may be worth considering as part of a holistic approach to pain management.

It’s important to remember that the best person to treat your sciatica will depend on your individual circumstances. It may require a combination of healthcare professionals working together to provide the most effective treatment plan for you.