** 1. since the symptoms again came back after taking conservative treatment, thus check with X-ray LS-spine, MRI for any nerve impingement or narrowing [which might be the cause of sciatics pain], thus consider orthopedic surgeon opinion. PS. if there is shooting pain along one leg, initially you may require pelvic traction, epidural injections, myelography studies. 2. since you have been diagnosed with the said problem, thus in Ayurveda we treat/manage the disease on the line of Gridhrasi PS. Duzella [duloxetine] is an antidepressant/anti anxiety drug given to alleviate the symptoms, thus is not disease specific but is advised to alleviate moderate to mild stress] 3. You can incorporate following prophylactic aspect also: . sleep on hard bed/mattress . wear heavy shoes and warm socks . massage of olive oil is beneficial PS. Acupuncture has been approved by the U.S. FDA as a treatment for back pain, and the National Institutes of Health has recognized acupuncture as effective in relieving back pain, including sciatica. . take 4 tsf holy basil juice 4 tsf ginger juice 4 tsf honey and drink for 1month. 4. Prescription medicine which are worth trying is/are: maha rasnadi kwatha, bala arishta, Mahavishgarbh/mahanarayan/mahamash oil 5. before advising for high uric acid level, one has to make sure whether it is due to increased production [hyperuricemia] or due to under excretion [gout] where renal function tests are advised, thus ask your doctor about relevant examination and investigations, make sure you avoid high protein diet, alcohol, and take plenty of fluids along with medicines prescribed [if any]