Sciatica is a common spinal condition that often arises in adults aged 30 to 50. It occurs when a herniated disk or bone spur comes in contact with a spinal nerve root, causing pain that travels from the lower back to the buttocks and then down into one leg. Some patients say the pain is like a burning or searing sensation, or perhaps like a lightning bolt that hits them very suddenly at certain times. Sometimes the primary symptom is tingling or numbness rather than pain. Sciatica usually happens as a result of the natural aging process when the soft interior portion of a disk leaks out and puts pressure on a nerve. Sometimes, sciatica will go away without medical treatment after a period of weeks or months. In the meantime, nonsurgical treatment methods may include NSAID medications, corticosteroid injections, heat and cold therapy, and physical therapy that includes targeted stretches. When conservative treatments have failed to bring needed relief from sciatica symptoms that are caused by a herniated disk, a laminotomy and discectomy may be performed to relieve pressure on the spinal nerve.