Non-invasive Treatments
1. Devil’s claw is a plant indigenous to southern Africa, named so because of the tiny hooks that cover its fruit. The roots and tubers of the plant are used as an anti-inflammatory painkiller and are very effective on arthritis, headache, and lower back pain (5).
Devil’s claw can be found in natural food stores in capsules or powder form. People suffering from peptic ulcers or taking blood-thinning medication, however, should avoid this herb.
2. Alternating hot and cold compresses can help reduce inflammation and relieve pain. An ice pack held to the affected area, followed by a heating pad, then replaced by the ice pack will enhance blood flow to the area and loosen tight muscles (6).
3. St. John’s wort is a herb known for its ability to ease pain when applied topically. Most grocery and health food stores carry this popular herb, as it’s also a natural anti-depressant. An oil infusion massaged into the painful area can quickly relieve pain (7).
4. Trigger point therapy is a modality employed by professional massage therapists for the release of muscle constriction. It may be a little uncomfortable for the therapist to reach the piriformis because of its location in the pelvis but the resulting pain relief is well worth it (8).
A combination of massage therapy and stretching can put the piriformis back in its place—reducing pressure on the sciatic nerve and alleviating pain. Other useful treatment options include chiropractic care, acupuncture, and yoga therapy.
Gentle pressure is necessary when working with sciatica; anyone who has experienced the pain of sciatic nerve compression will tell you that sudden or rough movement will instigate shooting pain. A combination of the above strategies may work best to provide long-term relief.