What is the best treatment for sciatic nerve pain?

Sciatic Pain: The first step is to determine the cause of the pain. Sciatic pain will generally extend below the knee and the most common cause are disc herniations at l4-5 or l5-s1. If an MRI does not reveal a source, there are times that the sciatic nerve can be entraped as it exits the pelvis, piriformis syndrome. The history of onset and examination are key to making the right diagnosis and treatment plan.

Traction/injections: Mechanical lumbar traction, or lumbar epidural steroid injections, are the best treatment options.

Spine Pain Options: This 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 injections.