Sciatica is a severe form of pain caused by compression of the sciatic nerve that radiates from the back toward the hip and outer side of the leg. Conventional treatments for sciatica include pain medication, physical therapy, and surgery in severe cases. However, these approaches can be invasive and costly and may not provide long‐term relief. Occupational therapy refers to the intentional and strategic application of various activities associated with daily life, work, education, and leisure to address functional impairments. Focusing on targeted exercises, manual techniques, and ergonomic modifications to alleviate symptoms and improve function, it offers a promising alternative to medical treatments. Occupational therapy interventions for sciatica can reduce pain, increase mobility, and enhance the overall quality of life. As an empowering approach, such techniques aid symptom management and functional independence. This article explores occupational therapy‐based assessments, interventions, outcomes, progress tracking, pharmacotherapy, challenges owing to surgical approaches, and devices for sciatic pain rehabilitation, with assessments aimed at improving the overall quality of life for individuals affected by this condition. Future research should focus on developing and validating new assessment tools and outcome measures specific to sciatica, enabling more accurate evaluation and progress monitoring.