Non-Surgical Management of Sciatica: An Evidence-Based PM&R Approach

Juliet Gaisey, MD

Board-Certified Physical Medicine & Rehabilitation Physician

Sciatica, also known as lumbar radiculopathy, is usually treatable without surgery using physical therapy, medications, and targeted injections when appropriate.

Sciatica is caused by irritation or compression of a nerve root, often due to disc herniation or spinal stenosis. Most patients improve with non-operative care.

What This Means for You

• Surgery is often not necessary.

• Early treatment improves outcomes.

• A structured, guided plan is more effective than trying to manage symptoms alone.

Evidence-Based Treatments

• Physical therapy focused on core stabilization and nerve mobility

• Medications such as anti-inflammatories or nerve pain agents

• Epidural steroid injections for persistent symptoms

• Activity modification and gradual return to function

When to Escalate Care

• Progressive weakness

• Symptoms lasting longer than 6 to 12 weeks

• Red flag symptoms such as bowel or bladder changes

Frequently Asked Questions

1. Can sciatica go away on its own?

Yes, many cases improve with conservative treatment.

2. What provides the fastest relief?

A combination of therapy, medications, and possibly injections.

Call to Action

We treat patients in Clinton Township and throughout Southeast Michigan.

Call (586) 275-7044 or visit mirehabconsultant.com to schedule an evaluation.