[QUOTE=Michael G.;2373527]What's the best treatment for Sciatic back and leg pain?
I did some research on Interventional pain management and osteopathic manipulation.

Have you ever heard of dry needling? I had extreme shoulder pain, the doctor at our Army Clinic offered it. It reminded me of acupuncture, but it’s not. It goes into the muscle, but could help with nerve pain too. I had immediate relief. Do a google search on dry needling. Good Luck!

Massage,and accupunture helped me.

Get a Deep Tissue Massage!

If you have a herniated disc, a deep tissue massage could make the pain worse.

I've had this for 3 months. They started me w/drugs, ugh. Physical therapy has been my best help for me after the month of drugs. I'm having a shot on the 11th. I hope this will eliminate this problem.

Inversion table
 

Hi.

I'm so sorry you're going through that miserable pain. I've had sciatica pain since 1993. What finally brought me relief was an inversion table. The Teeter brand is the only FDA approved table. I discovered this relief when I had a ruptured disc several years ago. I used this table as a last resort for the pain I was in. I continue to use it intermittently but it's really given me my life back. (No pun intended)

Please check with your doctor before buying or trying a table, as people with certain health issues cannot use them. I do not do full inversion, I only need about 20% to keep me moving.

I hope you can find relief soon.

CBD Gummies or oil helped me and it was awful. Took down twice a day for about three weeks and the arthritis in my fingers disappeared and so did my sciatic nerve pain. Worth a try.

A relative of mine just underwent a procedure called INTRACEPT. The Intracept procedure is a nerve ablation procedure that uses radiofrequency energy to heat the basivertebral nerve in the spine. This disrupts the nerve's ability to send pain signals to the brain. My relative had back pain for years, tried numerous other therapies, but never got pain relief from any of them. She did receive relief following the Intracept procedure, which is done as an outpatient and takes about 2 hours. That said, I do not believe that Intracept is considered a first-line therapy; it is usually reserved for people who have failed at other treatments. I hope you never fall into that category, but this may be something to keep in your back pocket and discuss with your doctor as a last resort.

I had to have a L4-L5 fusion when I was 50 and started getting sciatic pain again about 5 years after. I did a year long, 3 times a week physical therapy called Pure Healthy Back up in Michigan. No drugs involved and just strengthening the core muscles and flexibility. 9 years later and my back is still good, not great, but I can still golf 3 times a week. So I suggest as others have said is to strengthen your core muscles and stretching which was a lot of yoga poses. I also have an inversion table that I use after golf to really stretch the lower back.

Two words: Inversion Table

I’ve never heard of a bulging disc receding. Any sciatic pain I agree needs an MRI to see exactly what discs are involved. It’s usually due to a narrowing of the discs which pinches the nerves. They have minimally intrusive procedures to solve the problem. But unless you really can’t tolerate the pain, don’t have any back surgery. Theres many many alternatives.

Sciatic pain
 

I have been dealing with this and back pain for over 40 years. Injections over 80 bi lateral, Surgeries 3, 2 roto router types to open up and clear pinched nerves, and 1 to remove 6 discs that bulged to the nerves. I have refused any mor injections and not interested in more surgeries. I have found 2 items that "Work" One is The KAILO Patch. Google it. it interferes with the pain signal to the brain. IT WORKS. The other is for the knees but claim to be useful for shoulder, elbows back etc. I have a left knee that "Blew" out. Village ortho Dr shot it with steroid, then sent me to x ray Ass backwards, with the steroids noting can be done for 90 days. It is being evaluated by Florida Orthopedic Insitute in Tampa. In the mean time i sent away for the WELLKNEE patches. They also work, I can now walk on the knee an even better yet get some sleep. I can let you try it, give me a PM. I am also 83 .

Sciatic nerve help
 

My husband had pain on-and-off for years. The nerve goes through laminate (hoes in the bone) of each vertebrae. If the nerve is swollen and touches the bone it is painful. Solution is enlarging the affected holes. He had it done on L3, L4, L5. It was in-and-surgery. Several years ago. No pain. His neurosurgeon has since retired

You have used all the conservative routes. Good luck with the neurosurgeon

I did all the remedies suggested to no avail. Dr James Paraiso saved my life. The pain was excruciating and it was instantly gone and has not returned.