What is a disk hernia? Disk hernia is a condition in which the intervertebral disks bulges or protrudes in the vertebral canal compressing the nerve roots, spinal cord and other tissues in it cantains.

The course of the disease divides in three stages:
First stage: protrusions or bulging disks, where the inter-vertebral disk is just bulges or protrudes in the vertebral canal and so that it exercises only a very slight compression on the spinal cord and nerve roots and so the pain and other symptoms are less.
Second stage: small and voluminous hernia, in which the disks protrudes more in the vertebral canal and there fore it exercises more compression on the nerve roots, so the pain becomes very acute and often becomes unbearable.
Third stage: paralysing hernia, the disk has slipped much more and so it makes massive compression on the nerve roots causing the paralysis of the nerve and hence it looses its normal functions.

Protrusion or Bulging disk

Small or Voluminous hernia

Paralysing hernia

Each of these stages may remains as it is for months or years and then proceeds to the next stages, there fore disk hernia must be diagnosed in the beginning and resolved as early as possible, for not worsening the disease.

Treatments

The pathology of disk hernia arises from the conflict between the prolapsed disks with the spinal cord, the nerve roots, blood vessels and other tissues in the vertebral canal and in the conjugation canal. Even though the cause and the mechanism of the disk hernias are well known for many years, there is still does not exist any treatment with proved efficiency. Since the disease is the consequence of a mechanical processes, all treatments that do not remove or slacken the compression of the nerve roots are inevitably destined to fail.
More over nun of these treatments have got any scientific evidence that proves the effective reduction of disk hernias with CT Scan and MRI controls carried out before and after the treatments and so all are palliatives and non resolutives. The palliative and non resolutive treatments prolongs the disease and hence the sufferings, pain, waste of money and time.
There are a lot of patients all over the world with disk hernia, after several medical consultations and after different kinds of treatments such as: pharmacotherapy, physiotherapy, chinesitheraphy, kirotheraphy, osteopathic, manipulative, alternative and other treatments for many years are still searching for a solution to their problems.
By the introduction of CT Scan and MRI, it is possible to demonstrate, the real and effective reduction of the disc hernias beyond any doubt and hence the validity of any treatment for disc hernias with Scan and MRI controls carried out before and after the treatment.

The treatments for disk hernias are divided into: conservative and surgical treatments.

1. Conservative treatments: are so many and nun of these treatments have got any scientific evidences that proves the real and effective reduction of the disc hernias with Scan and NMR controls carried out before and after the treatments. The various conservative treatments applied for disk hernias are all till the disease becomes more acute and then proceed with surgery.
a) Pharmacotherapies: All pharmacological treatments are only symptomatics and hence all are non risolutives because they do not remove the compression of the nerve roots. More over, the pharmacological treatments have got a lot of after effects and complications and not only that none of these treatments have got any scientific evidences that proves the effective reduction of the disk hernias with Scan and MRI controls carried out before and after the treatments, hence they are all palliatives and non resolutives.
b) Physiotherapies: The physiotherapies are also so many and any of these treatments are able to remove the compression of the nerve roots and hence are all ineffective and non resolutives. Most of these treatments, even their mechanism and the functions are not well known and not only that they haven't proved the effective reduction of the disk hernias scientifically.
c) Kinesitherapies: The different kinesitherapies applied, often increases the pain and hence the disease also. Generally exercises, physical strain and other movements increases the pain and so it is better to take complete rest instead of applying various kinesitherapies and more over these treatments have got any scientific evidences as regards the recovery of disk hernias.
d) Manual therapies: The different manual therapies applied for disk hernias have not revealed that it is possible to reduce or slacken the compression or to prevent the disk relapses, on the contrary it often causes the massive expulsion of the disk materials in the vertebral canal creating many other complications. Not only that the manual therapies such as manipulative, osteopathic or kirotheraphy, applied all over the world haven't proved the effective reduction of the disk hernias with Scan and MRI controls made before and after the treatments.
e) Alternative therapies: The various alternative therapies applied haven’t got any scientific bases or proves that can reduce the compression of the nerve roots and so all these treatments are only palliatives, ineffective and non resolutives. More over, there is not any documents that proves the effective reduction of the disk hernias with Scan and NMR controls carried out before and after the treatments.
The various conservative therapies applied for disk hernias: pharmacological, physical, kinesiological, manual therapies, Kirotheraphy, manipulations, osteopathic, alternative and other treatments are only symptomatics and are applied till the disease becomes more acute and then proceed with surgery.

2. Surgical treatments: All surgical treatments applied for disk hernias regardless of its nature, are all traumatic, invasive and damaging procedure which suppresses the functions of the vertebral discs and there are a lot of complications and failures, which are to be avoided.
The surgical treatments applied for disk hernias are: hemilaminectomy or traditional surgery, microsurgery, chemionucleolisis, percutaneous discetomy, percutaneous microdiscetomy, artroscopic or endoscopic discetomy, Coblation, laser surgery etc.
The great optimism and trust put in surgery, after many decades of intensive activity in various types of surgical treatments all over the world is gradually fainting. The indications and opinion for surgery differ from surgeon to surgeon. Many doctors and patients consider that surgery is the last remedy to adopt for disk hernias, but it is not correct. If the surgery functions well why not it be the first? Is it necessary the patients have to suffer for may years before undergoing surgery?
Any how for the patients with disk hernias, the surgery is an obligated path after a long period of sufferings, medical, physical and other types of treatments, hospitalisation etc, are compelled to undergo surgery when the disease becomes more acute and the pain becomes unbearable. The majority of the patients who underwent surgery haven’t got any relief and many others considered as recovered in the beginning, after a short period of relative relief are compelled to undergo surgery again due to the recidive and new hernias.