Common symptoms of sciatica are back pain, stiffness in the lower back, and pain in the buttocks, and it is usually categorized into primary sciatica and secondary sciatica. It can be treated by hot compresses, medications such as methylcobalamin tablets, diclofenac sodium, vitamin B1, B12, etc., and surgery. 1. Primary sciatica: It is mainly a pain that radiates along the sciatic nerve from the buttock to the back of the thigh and the back of the calf, to the heel and the back of the foot. Patients can apply hot compresses to the local area and use medicines such as methylcobalamin tablets and diclofenac sodium as prescribed by the doctor. If conservative treatment is not effective, surgery can be considered. 2. Secondary sciatica: it is caused by the compression and stimulation of the sciatic nerve pathway. The main clinical manifestation is sciatic nerve pain, radiating from the lumbar region, buttocks to the back of the thigh, the back of the leg and the foot, with persistent vague pain and paroxysmal aggravation. Patients can take vitamin B1, B12 and methylcobalamin as prescribed by the doctor for treatment. Patients with the above symptoms should go to the hospital in time to do the relevant examination and standardized treatment under the doctor’s advice.