(1) Spontaneous resolution occurs in most cases while trying various treatments like bed rest, traction, massage , Desi treatments etc. There is no specific medicine for disc prolapsed: all medicines given are for relief of symptoms
(2) Minimally Invasive Microdiscectomy (Endoscopic or Microscopic): Cut as small as 2-3 cm qwhich can be covered with band-aid (hence we call it Band-aid procedure). Pains less sometimes lesser than even percutaneous methods. Generally walking allowed on the day of surgery. Though we are using endoscopic technique for more than 8 years but feel that microscopic approach is better than endoscopic.
(3) Percutaneous Tube discectomy (Microscopic or Endoscope- guided): We use a cut as small as 1.5 cm (as small as used anywhere in the world, if not smaller) pass a wire under guidance of C-arm. Once at right place, we pass dilators and then a tubular retractor (the structure on the way to disc are thus only pushed aside, not cut so that they come in their place after surgery). Through this tube we use endoscope or microscope for safe disc removal. We remove only that part of the disc which cause symptoms, rest of the disc is not disturbed as it is still functional. This surgery is as safe as microdiscectomy but less painful. We are doing it for 5 years and feel microscopic surgery is better than endoscopia
(4) Hemilaminectomy or Interlaminar aaproach for Microdiscectomy: Disc is removed through smaller (4-5 cm) ut still some avoidable destruction of spine is done. Use of Microscope makes microdiscectomy safer than open disc removal procedure. We no longer encourage it in our hospital
(5) Laminectomy for disc removal (Open method): Done through large cut and is more mutilating than needed.
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