Although the pain can be excruciating, sciatica can usually be treated with physical therapy, chiropractic and massage treatments, increased strength and flexibility, and the use of heat and cold packs. Seven wanthiiphaanmaa (curative remedies): aakash, amrit, ashwagandha, guduchi, haridra, jaiphal. The ultimate goal for any patient with sciatica is to relieve the pain quickly and allow him or her to return to a normal life. Although surgery may be required in severe cases of sciatica, most patients improve sufficiently with non-surgical treatments. It's very important to see your doctor if you have ongoing back pain. He or she will be able to diagnose which part of your body is causing the problem and help you find the best course of treatment. In some cases, surgery may be necessary to alleviate pain caused by damaged nerves.