Conservative management of herniated nucleus pulposes: treatment approaches

Herniated nucleus pulposus (HNP) is a significant cause of physical impairment to the afflicted individual and a major factor in a wide range of socioeconomic issues. This paper examines various disc herniation therapies and compares conservative treatment modes with surgical intervention. Results of a 10-yr study are reviewed and recommendations are made concerning conservative treatment management in the physician's office and at home, return-to-work considerations, preventive care and the importance of cooperation among patient, physician, employer and third-party provider. The authors conclude that conservative treatment is an acceptable, cost-effect alternative to surgery.