What's the best treatment for sciatica?

The best treatment for sciatica depends on the root cause — and "sciatica" itself is a symptom (nerve-pattern pain down the leg), not a diagnosis. Common drivers include disc irritation, piriformis or deep-glute compression, SI joint dysfunction, or lumbar facet involvement. Each responds to a different combination of treatment.

The MOOV. approach: a focused movement and neurological assessment to identify the actual driver, then a combination of joint mobilization or adjustment, soft-tissue release (often dry needling for the deep glute), and progressive nerve-glide and core-stability programming. Most patients see meaningful change within 2–6 visits when the cause is correctly identified. Avoid the trap of generic stretching protocols — they help some sciatica cases and aggravate others.