There is no such thing as the fastest treatment for lumbar disc herniation sciatica, which is usually relieved by medication and surgery. 1. Drug treatment: sciatica caused by lumbar disc herniation is mainly caused by nerve compression, you can choose to take oral ibuprofen, meloxicam and other painkillers to relieve the pain; intravenous drug can maintain the blood concentration of drugs in the body, such as intravenous mannitol, sodium heptadecyl saponin and other anti-swelling medications, to reduce the edema compression. 2. Surgery: If the disease is long and the effect is poor after conservative treatment, or if there is weakness of both lower limbs or even muscle atrophy, or if there is abnormality in the saddle area, surgical intervention can be considered, such as intervertebral foraminoscopic myelomeningocele removal, posterior small open surgery, etc. The specific surgery will be decided according to the patient’s condition. The specific surgical method is decided according to the patient’s condition. Lumbar disc herniation sciatica, the patient’s physical condition is different, different stages of the disease, the treatment method is different, it is recommended to standardize the treatment under the guidance of the doctor.