Sciatic pain may be caused by pyriformis syndrome or lumbar disc herniation, etc. Treatment mainly includes conservative treatment and surgery. 1. Conservative treatment: If the pain is caused by pyriformis syndrome or mild lumbar disc herniation, braking and rest are needed in the acute stage; secondly, physiotherapy, rehabilitation training and medication can be chosen, such as hot compresses and hip bridges, etc. Commonly used medications include non-steroidal anti-inflammatory drugs, nutritive nerve drugs, and drugs to reduce edema, such as meloxicam tablets, methylcobalamin and mannitol. 2. Surgery: If the symptoms of lumbar intervertebral disc pinched nerve are more serious, patients with pyriformis syndrome who have been ineffective in conservative treatment and further aggravation of symptoms, or patients with symptoms that seriously affect normal work and life, surgical intervention can be considered. Surgical procedures mainly include nucleus pulposus removal and adhesion release. Specific surgical procedures need to be decided by the doctor after a comprehensive evaluation of the patient’s condition. For the same symptom, the cause of the disease is different, the stage of the disease is different, the treatment method is different, and the standardized treatment should be carried out under the guidance of the doctor.