I have suffered with lower back pain due to degeneration of L5/6 for over 25 years and also suffered with referred sciatic pain in both legs for 15+ years. 5 years ago I had a bilateral nerve root block, and more recently 2 rounds of facet joint injections about 2 years apart. Over the years I have been prescribed codeine phosphate, amitryptiline, tramadol, diclofenac, gabapentin & naproxen.
Far and away the best treatment I have had was the nerve root block. It was transformative in terms of daily pain.
The 2nd round of facet joint injections at the beginning of this year has also been of benefit.
I no longer take anything stronger than paracetamol and ibuprofen and generally speaking only really suffer when I’m lazy and don’t stretch etc. or over do it/adopt poor positions when sitting etc.
I have never tried any alternative remedies but, personally, genuinely feel that the combination of some medical intervention plus physio & exercise is the way to go. I have absolutely no desire to undergo full surgery e.g. fusion.