Background:. The reported prevalence of sciatica ranges from 1.2% to 43%. Epidural injections are the most commonly performed interventions for sciatica. Setting:. A provincial based spinal unit. Objective:. To evaluate the effectiveness of lumbar epidural injections with local anaesthetic and steroids, in patients with sciatica secondary to disc herniation in providing effective pain relief. Methods:. A retrospective chart review of 25 patients given an epidural with local anaesthetic mixed with non-particulate betamethasone. Patient outcomes were measured at baseline and 6 weeks with the Oswestry Disability Index 2.0 (ODI). Observations of gender, sex, co-morbities and medication intake were made. Decrease of 50% in the Oswestry scores were considered significant. Results:. Significant pain relief was seen at 6 weeks in 80% of patients and medication intake was decreased. Limitations:. The study limitations include the lack of a placebo group and the fact that this is a preliminary report of the 25 patients. Conclusion:. Overall, 80% of patients with sciatica benefited from lumbar epidural injections