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Acupuncture is generally considered safe for people with disc-related sciatica, and it's one of the non-surgical options often tried before more invasive interventions. In multiple clinical trials specifically enrolling people with herniated disc sciatica, adverse events from acupuncture were rare and mild. That said, if you're experiencing severe neurological symptoms — significant leg weakness, loss of bladder or bowel control, or rapidly worsening numbness — those are signs to seek prompt medical evaluation rather than starting acupuncture. For the more typical presentation of radiating leg pain and discomfort, acupuncture is well-tolerated.