Hello, sciatica is a symptom that something is pushing on a nerve which gives the pain referred to as sciatica, now you have to find what will reduce this inflammation. Epidurals worked for me about 5 years then I was rear ended by a truck while waiting for a red light so finally had a fusion of lumbar 2,4,5. I know what folks say about fusions not helping but they do but you must abide instructions, like I have a limit of lifting only 18 pounds which is equivalent to a gallon of milk and so to make it simple I only buy half gallon jugs. Yes I have pain daily but know now that sometime I can get along with Tylenol plus muscle relaxer rather than using the ultram. the only person that can help you best is yourself. If you have a bad disc they now can replace it, I do not know your location but I do know of a super ortho surgeon in Minneapolis, Dr. Amir Mebod. I also smoke mJ and it helps to relax the body and help to tolerate pain. I am a Christian and will by prayer give you great help. Please keep in touch about your progress. Sent with love and concern Maxine