<s>[INST] I just found out I have sciatia I have a torn MCL since apirl of 2010 have not had surgery the pain is unbearable I am on a prescription medication Gabapentin which does nothing for the painI have did physical therapy with no reliefwhat is my next step please can you tell me .Thabk you . Passion [/INST] Sciatica is usually due to nerve root compression in lumbosacral spineOther than gabapentin, available options are:1. Tab pregabalin2. Duloxetine3. amitryptylineif medications not much effective, Get MRI LS Spine done and if severe nerve compression there, Surgery can be a option </s>