I have bad sciatica pain. what are my options?

Options: You have multiple options, the mainstay of treatment are interdisciplinary and include physical therapy, acupuncture, medications (anti-inflammatories, nerve pain agents) and epidural steroid injections. Depending on your response surgery may need to be considered. There continue to be emerging technologies to treat sciatica in a minimally invasive fashion.

Sciatica Tx: There are many treatments for sciatica like heat pads, accupuncture, chiropractic therapy, exercise, massage, medications, injections ... Please see a pain management doctor for evaluation. You might benefit from a comprehensive evaluation and treatment.

Spine Pain Options: This chronic pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injection.