I have sciatica and today i experienced great pain when leaned forward and twisted, dr said:a vertebrae sits beside spinal and doesn't "move, what to do?

See a DC or DO: See an osteopathic physician who specializes in osteopathic manipulation, or a good chiropractor. Manipulation can really help relieve the pain and can help keep you from having more episodes. Appropriate stretches and yoga can also be of benefit, as well as icing the area. Massage/acupressure could be of benefit but would be best in conjunction with manipulation. Mri may be advisable.

Xrays/Lumbar MRI: Sciatica that lasts longer than 6 weeks or is associated with progressive symptoms needs workup. Lumbar xrays will assess for abnormal movement in your bones. Lumbar MRI will assess for disc bulges impacting the nerve and assess the spinal canal diameter. If your symptoms don't respond to activity limitations, physical therapy or lumbar steroid injections, then surgical options needed.

See Pain Doctor: Employing a multi-modal approach, most fellowship trained pain specialists offer the most effective management of painful conditions. To accurately diagnose and treat patients, we will utilize imaging studies, electro-diagnostic evaluations, history ; physical examinations, targeted physical therapy, appropriate and responsible medication management and cutting-edge interventional procedures.