Get an accurate diagnosis of the cause of sciatica (disc herniation, spinal stenosis, piriformis syndrome, etc.)
Stay active with light walking and normal daily movement as tolerated
Avoid prolonged bed rest
Do physical therapy focused on sciatica and the specific underlying driver
Perform nerve-mobilization exercises as prescribed by a clinician
Perform core stabilization exercises (e.g., McGill-style) as prescribed
Perform hip and glute strengthening exercises (e.g., bridges, clamshells, hip abduction) as prescribed
Perform hamstring and hip-flexor mobility work as tolerated
Maintain lumbar and hip mobility with gentle range-of-motion work
Use posture and ergonomics changes (neutral spine, frequent position changes, proper chair height)
Use activity modification to avoid repeated aggravating motions temporarily (deep bending, heavy lifting, prolonged sitting)
Apply heat or ice to reduce pain and improve tolerance for exercise
Use appropriate pain control strategies to enable rehab (topical NSAIDs if suitable, oral NSAIDs if suitable, acetaminophen if appropriate)
Consider a short course of oral steroids only if recommended by a clinician
Consider epidural steroid injection if pain persists despite conservative care and to facilitate participation in rehab
Consider other interventional options if indicated (e.g., selective nerve root block)
Seek surgical evaluation if there is progressive neurologic deficit, severe or unrelenting pain, or persistent symptoms despite adequate conservative treatment
If surgery is recommended, choose the procedure matched to imaging and symptoms (e.g., microdiscectomy, laminectomy/stenosis decompression)
Maintain long-term exercise routine after symptoms resolve to prevent recurrence
Gradually return to lifting and activity using proper mechanics (hinge at hips, neutral spine, avoid twisting under load)
Maintain healthy body weight if applicable
Ensure adequate sleep and stress management to support recovery
Avoid smoking and nicotine products
If symptoms worsen or new weakness/numbness appears, seek urgent medical evaluation
If bowel/bladder dysfunction or saddle numbness occurs, seek emergency care