How Long Does Sciatica Last: Symptoms, Treatment, And Management
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Medically reviewed by Madeline Knott, MD — Written by Jesse Klein — Updated on November 28, 2023- What does it feel like?
- How long does the pain last?
- Causes
- How to manage pain
- Home remedies
- Does the pain go away on its own?
- When to see a doctor?
- Prevention
- Outlook
- Summary
Most cases of sciatica last for up to 6 weeks, but it can last for longer. Sciatica is a condition that occurs when a person’s sciatic nerve becomes irritated, leading to pain along the back of one leg.
This article reviews the symptoms of sciatica, how to treat and manage it, how long it lasts, and when to see a doctor.
What does sciatica feel like?
Share on PinterestThe sciatic nerve runs from the hip to the bottom of the feet, so sciatic pain usually concentrates on the bottom, behind the knee and lower leg.
Because of this, many people with sciatica mistakenly think the pain indicates a leg issue, not a lower back issue.
A slipped disk, or herniated disk, is the most common cause of irritation in the sciatic nerve.
The intervertebral disks are soft cushions of tissue between the vertebrae of a person’s spine. A slipped disk occurs when one becomes slightly dislodged, pushing out from the spine. This can put pressure on the sciatic nerve, causing sciatica.
Other issues may also trigger sciatica, such as tumors or infections.
How long does the pain last?
Most sciatic pain lasts 4–6 weeks. Acute pain can feel like a stabbing, shooting, or burning sensation, which may subside into a dull ache.
Sciatica becomes chronic if it lasts longer than 6 weeks and does not improve.
Doctors usually recommend waiting for the issue to resolve without medical treatment unless the pain is excruciating or lasts for more than 12 months.
What causes a sciatic flare-up?
Many lifestyle choices can cause sciatica to appear or flare up. Most relate to a person’s chronic sedentary lifestyle.
Sitting for long periods, especially with bad posture, can trigger symptoms or make them worse. Even lying down for long periods can aggravate the sciatic nerve.
Another acute cause of sciatica is lifting heavy objects without the proper technique. This can lead to a slipped disk, which can put pressure on the sciatic nerve.
How to manage pain
To relieve sciatic pain, try to avoid sitting or lying down for long periods. Take short walks and stay active.
If a person has to sit down for work or school, they should make sure they have a decent chair and good posture. People should also try to avoid driving long distances.
If the pain is severe, lying down with a heat or ice pack for a few minutes may help. Over-the-counter or prescription pain relief medication can also temporarily ease discomfort.
Treating sciatica at home
The best treatment for sciatica is time, good posture, and exercise. While the pain may be intense, sciatica usually goes away on its own in 3 out of 4 people.
People should make sure they have good posture when they plan to sit for a long period of time.
Exercise, such as walking, yoga, pilates, and light stretching, will help reduce pain and keep sciatica from returning.
Can the pain go away on its own?
Sciatica pain usually self-resolves.
However, it helps to adopt a good sitting posture, as well as performing regular light stretching and exercise.
When to see a doctor
If sciatica pain lasts more than 6 weeks or becomes too severe, consider talking to a doctor.
Medical professionals may prescribe medications or spinal steroid injections to help relieve symptoms.
To treat the underlying cause, a doctor might suggest seeing a physical therapist for manual manipulation, massage, and specific sciatica exercises.
If the sciatic pain continues for 6 months up to 1 year, a doctor might perform surgery to remove part of the spinal disk that affects the nerve.
Prevention
Here are some healthful habits that can help prevent sciatica:
- sitting and standing with good posture
- avoiding sitting or lying down for long periods
- using good form when picking up something heavy, including lifting from the knees, not the back
- exercising and stretching regularly
Outlook
Some research suggests that 40% of people will get sciatica at some point in their lives, mostly between the ages of 30–50.
For most people, sciatica will resolve on its own in a few weeks without any medical intervention. Yoga classes and some lifestyle changes may be enough to remedy the issue.
However, in some cases, the pain may be extreme and could last many months.
People with chronic sciatica may need medical treatment, such as physical therapy, injections, or surgery.
Summary
Sciatica results from pain due to irritation of the sciatic nerve. People can experience sciatic pain in the lower back, buttocks, and down the back of either leg.
Sciatica usually gets better in 4–6 weeks, but it could last longer. If the pain is severe or lasts more than 6 weeks, consider talking to a doctor about treatment options.
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How we reviewed this article:
SourcesMedical News Today has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical journals and associations. We only use quality, credible sources to ensure content accuracy and integrity. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.- Atlas, S. J. (2017). Taming the pain of sciatica: For most people, time heals and less is more. https://www.health.harvard.edu/blog/taming-pain-sciatica-people-time-heals-less-2017071212048
- Sciatica. (2017). https://www.nhs.uk/conditions/sciatica/
- Sciatica. (n.d.) https://www.isass.org/for-patients/spine-conditions/sciatica/
- Sciatica: Of all the nerve. (2016).https://www.health.harvard.edu/pain/sciatica-of-all-the-nerve
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