I've been fighting sciatica for seven years. Most pain management specialists are pill mills who also offer additional services such as spinal epidurals, RFAs, spinal cord stimulators (be very cautious of these as many time the potential risks e.g. probe migration, etc. are downplayed). Only recently have I begun to experience relief. This was thru a trial run of Cymbalta I had side effects with Lyrica and gabapentin. On the bright side I feel I'll be able to be weened off oxycodone but the experience may be harrowing. It's sad to have to say this but my best advice is to abstain from opiods and seek a medical professional whose places their patient's interests above their financials.