Most patients who have sciatica symptoms get better on their own with some simple, conservative, non-operative measures. These usually start with a period of rest with some oral anti-inflammatory medications, such as ibuprofen, and a short course of structured physical therapy. Some patients need a muscle relaxer or a nerve medication called Neurontin or Gabapentin that helps reduce the inflammation and the irritation of the nerves. If these measures don’t work, some might require an injection of steroids in and around the area where the nerves are in order to, again, calm down the inflammation of the nerves. And rarely, if these measures don’t improve the pain, surgery might be required.