Treatment for a pinched nerve in the L5 and S1, or sciatica, includes pain medication, stretching and physical therapy, states the Laser Spine Institute. However, chronic or severe cases can require surgery or alternative treatment options such as acupuncture or chiropractic therapy.
Sciatica, a radiating pain that occurs due to pinched nerves in the L5 and S1 area of the back, can be treated at home with alternating hot and cold packs and stretching, advises Mayo Clinic. Use ice packs for the first couple of days, putting them on the area several times a day for 20 minutes each time. After at least two days, apply heat packs or alternate between hot and cold packs. Low back stretches using smooth movements can also be helpful, holding each position for at least 30 seconds
Over-the-counter medications, muscle relaxants, tricyclic antidepressants and anti-seizure medications can also help to relieve pain and pressure, explains Mayo clinic. Over-the-counter medications such as ibuprofen and naproxen sodium can help to simultaneously relieve pain and inflammation. Corticosteroids injected into the area can help to relieve the pain for a few months at a time. If the sciatica not only causes pain, but results in incontinence and weakness, surgical correction of the pinched nerve can help.