<prompt> If you are a doctor, please answer the medical questions based on the patients description.diagnosed with sciatica for over 4 years on and off daily pain which i controll with excersizes but only serves this purpose and not effectively treat the problem, it is causing me prolonged stress daily running my confidence in to the ground as much as labido also has had adverse effect on sex life which is also spiralling me into depression, negative self talk, general unhappiness what can be done for me iam at my wits end almost  <response>: Get cured of sciatica completely is not a goal I have found on people. While a small percent of my patients and in the literature have a very good response to surgery 10-20? at least as many have the pain get worse with surgery. Generally NOT indicated unless there is paralysis starting. Exercises to increase mobility: conventional physical therapy, fitness that does NOT use the back swimming, stationary bicycle at moderate to high intensity, AND gracefulness therapy. Gracefulness--to increase body awareness. The stress on an area is far more due to both active use and to unbalanced positioning than to weight. Bounce on a scale like you are walking... you see the needle go up and down over a 20 pound range...active load. If you are off center, all your weight goes onto one edge of a disk or a joint and the surface holding the weight Chat Doctor. So... yoga, tai chi, or ballroom dance. Experimenting with different pillows and positioning. 