Any recommendations for pain management and mental health management with sciatica?

One last thing: I used TENS for fibro but was told not to use it for sciatica because it could cause muscle spasms. I was also told not to go back to my chiropractor because it was too harsh and would make the herniated discs worse. Obviously you know to check with your dr. I'm getting ready for a second injection, a caudal injection this time. It's a broader injection I need because I have multiple bad discs. If that doesn't help, my pain dr recommends a radio frequency oblation. That's a more serious procedure that destroys the nerve creating the pain.
I hope you find some relief soon Good luck

As I said, since I was pregnant, there were very few medications I could take, especially for the "Mental" part of it. I tried to keep busy when the pain would allow me to. I read a lot or listened to E-books which kept my mind off of the pain. Colored with gel pens or colored pencils. Listened to music. Did journaling which helped me to get my thoughts out of my head and down on paper so I didn't dwell on my pain, lack of mobility at times and the depression I would go through some days. On the days I felt good enough to move around I would go outside when the weather was nice and take short walks just to get some fresh air and feel the sun on my face. If I couldn't walk, I would sit outside in my backyard and enjoy the breeze, listen to the birds chirpping and get some sun. Sometimes I would even call a friend or family member and talk in order to think of something other than my pain.

After the 4 weeks of chiropractic treatments I was so much better that I only went back to the chiropractor when I needed to. I was blessed to have a wonderful chiropractor who wanted to help me and not just take my money and keep me coming back.

I also used a Tens machine. It has 4 sticky patches with a lead to each one. You attached the leads to the sticky patches and the sticky patches to your back where the pain is. The Tens machine, when turned on, sends small electrical currents into your back/muscles which helps relax the areas of your back/hips/neck/shoulders, depending on where you place the sticky patches with the leads attached, that are hurting so they can heal.

I received my Tens machine through my chiropractor, and my insurance company paid for it since it was ordered by my chiropractor, and was considered "Durable Medical Equipment."

I have since found the Tens machines online at Amazon and you don't have to have a doctor's prescription for them, but you do if you want your insurance company to pay for it.

For me, once my son was born my sciatica went away. However, it did come back off and on years later so I did exactly the same things I did when I was pregnant with my son, except I took 3 or 4 Advil/Motrin every 6 hours for my pain and for me that was plenty. Usually, my sciatica only lasts 2-3 weeks.

Although when I had a herniated disc the only thing that helped was outpatient surgery, but the day after surgery, all my pain was gone.

Please keeps us advised how you are doing and I will be praying for you.