I Have a Disc, Do I Need Surgery?
Most disc herniations are treated without surgery. Over 90% of disc herniations improve with conservative treatment, and many herniated discs are naturally resorbed over time.
When Surgery Is Needed (Emergency)
- Cauda equina syndrome: Loss of bladder/bowel control
- Rapid muscle weakness: Sudden loss of ankle or toe strength
- Rapidly progressing neurological symptoms
→ Immediate surgery is needed in these cases.
When Conservative Treatment Is Possible (Most Cases)
- Severe pain but muscle strength is maintained
- Numbness present but no paralysis
- MRI shows disc herniation but symptoms are not severe
- Adequate conservative treatment has not yet been attempted
Natural Course of Disc Herniation
Herniated discs are often naturally resorbed (spontaneous resorption) over time.
- Larger herniations actually resorb better
- Size decreases over 6 months to 2 years
- Managing symptoms during this period allows improvement without surgery
MRI Findings ≠ Surgery Required
Even if MRI shows disc protrusion, surgery is not needed if symptoms are not severe or conservative treatment is effective. Symptoms and function matter more than imaging.
Conservative Disc Treatment: Circulation Therapy
- Circulation HD: Reduce inflammation around nerves, improve circulation
- Circulation PT: Stabilize lower back to prevent recurrence
Frequently Asked Questions
Have You Been Diagnosed with a Disc?
Get a consultation to see if conservative treatment can help you recover.
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