Treatment of lumbar intervertebral disc protrusions by manipulation

From 1975 through 1983, a total of 517 patients with protruded lumbar discs were admitted for manipulative treatment. Of these, 76.8% had satisfactory results. There were 73 recurrences (14.1%) at intervals ranging from two months to 12 years. Forty-seven cases did not respond to manipulation. These results indicate that manipulation of the spine can be effective treatment for lumbar disc protrusions. In general, the manipulation consists of eight maneuvers in three positions. The selection of the appropriate maneuvers depends on the patient's symptoms and signs and on the judgment and expertise of the operator. Practice is necessary to become proficient in spinal manipulation techniques. Several mechanisms of regression lumbar disc protrusions are possible.