Patients are very confused about how they should be treated. The decision process is difficult for both the patient and the physician. There are many studies on surgical versus non-surgical treatment methods.
In the mid-twentieth century, the role of surgery in the treatment of herniated disc associated with nerve compression was revealed.
There are many studies on sequential imaging studies. Numerous articles show that the natural course of a herniated disc is one of self-healing conditions. Various mechanisms have been proposed to explain this spontaneous recovery. It is very important to observe that in most of these studies, the greatest reduction occurs in herniated discs whose size is the largest and surgery is considered suitable.
With non-surgical treatments (manual therapy, neural therapy, ozone therapy, acupuncture, physical therapy, PRP, etc.). .) In other words, the aim of complementary and alternative treatments is to support this spontaneous healing.
Studies on non-surgical treatment of lumbar disc herniations show that the majority of patients can be treated successfully. With the complementary and alternative treatments listed above, good and excellent results are achieved in approximately 90 percent of patients.
Non-surgical herniated disc treatment for the patient must include specific exercise training.
However, these statements This does not mean that surgery should never be considered in the treatment of herniated discs. In some clinical situations, early surgical intervention is more appropriate or even essential than comprehensive non-surgical rehabilitation. These are cauda equina syndrome and rapidly progressive motor weakness due to single-level nerve compression. It is imperative that patients presenting with complaints of urinary incontinence and cauda equina involvement receive appropriate surgical treatment as quickly as possible, ideally within the first 24 hours of the onset of the patient's complaint. In these cases, surgical treatment will usually be discectomy, which is a relatively less invasive procedure.
In cases caused by lumbar disc herniation, other issues other than neurological status play a role in making the decision about surgery or non-surgical treatment. The effect of pain on quality of life and its consequences The resulting disability is one of the main factors to be taken into consideration.
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