How long does it take for sciatica to improve with rest?

Written by Guan Jing Tao
Orthopedics
Updated on April 23, 2025
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Recovery of the sciatic nerve requires a long time, and also depends on the severity of the damage to broadly judge the prognosis. If it is merely a contusion, it may take one to three months for most symptoms to gradually improve, such as sensory abnormalities like numbness and soreness. If the sciatic nerve has been chronically compressed, resulting in nerve degeneration, or if it has sustained severe traumatic injury, recovery will typically require at least six months to a year, and the process will be slow. Furthermore, if a violent injury has caused a tear or rupture, surgical treatment is necessary, and the post-operative recovery remains a lengthy process, often leaving significant residual symptoms.

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Written by Na Hong Wei
Orthopedics
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Sciatica belongs to which department?

Sciatica mostly falls under the category of orthopedics. It is a common orthopedic disease, with primary and secondary causes. The secondary type is often caused by compression at the exit point of the lumbar spine and sciatic nerve, so sciatica can be treated in orthopedics or spinal surgery. Primary sciatica, generally caused by inflammation of the sciatic nerve, is managed by neurology. To address sciatica, many hospitals now have departments of pain management. Therefore, sciatica can be treated by four departments: orthopedics, spinal surgery, neurology, and pain management.

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Written by Na Hong Wei
Orthopedics
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How to treat sciatica?

For sciatica, conservative treatment methods should first be adopted, which include the following five points: The first is general treatment; as soon as sciatica appears, immediately rest in bed, and the bed should be relatively hard. Second, you can apply heat to the lumbar area, use physical therapy, or acupuncture. Third, lumbar traction can be performed, which has a very clear effect in alleviating sciatica. Fourth, consider performing an intradiscal injection or sacral injection therapy, and chemical nucleolysis can also be performed. After the above treatments, if the symptoms and pain are reduced, you can start functional exercises for the lower back muscles. Functional exercises of the lower back muscles play a significant role in enhancing the stability of the lumbar spine. If the effect of the aforementioned treatments is not significant, or if the symptoms worsen, then surgical treatment may be necessary at this time.

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Written by Na Hong Wei
Orthopedics
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How to completely cure sciatica?

Treatment methods for sciatica include several approaches. First, resting on a hard board bed; typically, this rest period lasts three to four weeks, during which many patients experience symptom relief. Second, pharmacological treatment is recommended, usually involving non-steroidal pain relievers, as well as vitamins B1, B6, and B12. Short courses of corticosteroid hormones are also used. However, it is important to use hormones minimally and to stop their use correctly if possible. Third, traditional Chinese medicine and herbal treatments are preferred. Many cases of sciatica may be alleviated or even cured with the proper application of traditional Chinese medicine and herbs. Common remedies include Xuanluo Tongbi Decoction, Wutou Xixin Tongbi Decoction, and Duhuo Jisheng Decoction. Local injection treatments are also available, but it is crucial to ensure precise and successful injection on the first attempt. Fourth, exercise therapy is essential as inactivity can lead to muscle atrophy, so proper rehabilitation is necessary. Sixth, dietary therapy should focus on nutritious foods while avoiding junk food and spicy, stimulating dishes.

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Written by Cheng Bin
Orthopedics
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Pre-symptoms of sciatica

For the early symptoms of sciatica, it is usually manifested as obvious pain in the area where the sciatic nerve enters and distributes. The main symptom is radiating pain, especially under circumstances such as catching a cold, strenuous exercise, fatigue, or suffering from trauma, where the pain will be more pronounced. There are many causes of sciatica in clinical practice. Common causes include issues with the lumbar spine, such as disc herniation, lumbar spondylolisthesis, and spinal stenosis, which can compress the spinal nerves and result in symptoms of sciatic nerve pain.

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Written by Guan Jing Tao
Orthopedics
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How long does it take for sciatica to improve with rest?

Recovery of the sciatic nerve requires a long time, and also depends on the severity of the damage to broadly judge the prognosis. If it is merely a contusion, it may take one to three months for most symptoms to gradually improve, such as sensory abnormalities like numbness and soreness. If the sciatic nerve has been chronically compressed, resulting in nerve degeneration, or if it has sustained severe traumatic injury, recovery will typically require at least six months to a year, and the process will be slow. Furthermore, if a violent injury has caused a tear or rupture, surgical treatment is necessary, and the post-operative recovery remains a lengthy process, often leaving significant residual symptoms.