For a patient with severe sciatica, which physical intervention is typically contraindicated?

In cases of severe sciatica, bed rest is often contraindicated because prolonged inactivity can lead to muscle deconditioning, increased pain, and a higher likelihood of future pain episodes. While initial rest might seem beneficial for relief, extended bed rest can hinder recovery by reducing mobility and flexibility.

Patients are generally encouraged to participate in light activity and physical therapy, as movement can promote healing, alleviate symptoms, and support functional recovery. On the other hand, manual therapy, traction, and stretching exercises can be effective interventions when applied appropriately, as they can help relieve nerve compression, improve circulation, and enhance mobility.