The latest clinical practice guidelines published in the prestigious medical journal Spine confirm that non-surgical approaches should be used first when treating patients with lumbar disc herniation. The authors of the guidelines found that conservative management, particularly exercise and traction, provided patients with significant pain relief and functional improvement. According to the researchers, despite the moderate amount of quality evidence in the literature, the risk-benefit profile of these treatments makes their use very valuable. In reality, these findings simply confirm what we’ve seen in our office for years: Traction (spinal decompression) is effective in treating patients with lumbar disc herniation. While spinal adjustments remain the treatment of choice for localized mechanical low back pain, spinal decompression is the better option for patients with pain radiating into the buttock or leg. This type of sciatic type pain is often times caused by disc herniation. Chiropractors are trained to be able to identify signs of disc herniation and treat the problem safely and effectively.
Nonsurgical treatments for patients with radicular pain from lumbosacral disc herniation, Lee, Jung Hwan et al. The Spine Journal 2019, June 12