The list of treatments mentioned in various sources for Herniated disc includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.
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Source: In A Page: Pediatric Signs and Symptoms, 2007
Unless neurologic impairment progresses rapidly, treatment is initially conservative and consists of several weeks of bed rest (possibly with pelvic traction), administration of nonsteroidal anti-inflammatory drugs, heat applications, and an exercise program. Epidural corticosteroids, short-term oral corticosteroids, nerve root blocks, or physical therapy may be used to decrease pain. Muscle relaxants, such as diazepam, methocarbamol, or cyclobenzaprine, may relieve associated muscle spasms.
A herniated disk that fails to respond to conservative treatment may necessitate surgery. The most common procedure, laminectomy, involves excision of a portion of the lamina and removal of the protruding disk. If laminectomy doesn’t alleviate pain and disability, a spinal fusion may be necessary to overcome segmental instability. Laminectomy and spinal fusion are sometimes performed concurrently to stabilize the spine. Microdiskectomy can also be used to remove fragments of nucleus pulposus.
Injection of the enzyme chymopapain into the herniated disk produces a loss of water and proteoglycans from the disk, thereby reducing both the disk’s size and the pressure in the nerve root.
Source: Professional Guide to Diseases (Eighth Edition), 2005
Treatment measures are initially conservative and consist of several weeks of bed rest (possibly with pelvic traction), heat applications, an exercise program, and medication. If neurologic impairment progresses rapidly, surgery may be necessary.
Aspirin reduces inflammation and edema at the site of injury; rarely, corticosteroids such as dexamethasone may be prescribed for the same purpose. Muscle relaxants also may be beneficial.
A herniated disk that fails to respond to conservative treatment may necessitate surgery. The most common procedure, laminectomy, involves excision of a portion of the lamina and removal of the protruding disk.
If laminectomy doesn’t alleviate pain and disability, a spinal fusion may be necessary to overcome segmental instability. Laminectomy and spinal fusion are sometimes performed concurrently to stabilize the spine.
Chemonucleolysis — injection of the enzyme chymopapain into the herniated disk to dissolve the nucleus pulposus — is a possible alternative to laminectomy. Percutaneous automated diskectomy or microdiskectomy can also be used to remove fragments of the nucleus pulposus.
Source: Handbook of Diseases, 2003
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