The Truth About Herniated Discs
A herniated disc — also called a slipped disc, ruptured disc, or prolapsed disc — is one of the most common and most mismanaged spinal conditions. The vast majority of patients are unnecessarily rushed toward surgery.
How Physiotherapy Treats Disc Herniation
Flexion-distraction therapy gently opens disc spaces. Neural mobilization reduces nerve root adhesions. McKenzie extension exercises centralize disc material. Progressive core stabilization prevents recurrence.
The Evidence for Conservative Care
Multiple high-quality studies show that conservative physiotherapy produces outcomes equivalent to surgery for most disc herniations — without the risks, costs, or recovery time of surgical intervention.
When Surgery Is Genuinely Necessary
Cauda equina syndrome (bowel/bladder dysfunction, saddle numbness) requires emergency surgery. Progressive neurological deficit despite 6 weeks of intensive physiotherapy may warrant surgical consultation.