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The principle of treatment for herniated discs may change depending on the nature of the disc, i.e., whether it is a hard or soft disc.
A soft disc is literally a soft disc in the early stages of a lumbar disc, and a rigid disc is a hardened disc. Rigid discs are formed when the soft disc is not properly absorbed or treated. It's a good idea to think of the occasional pimple or a small abscess on your face. Just as acne may heal on its own and disappear on its own, but may later turn hard and leave a trace, the soft tissue of the disc will also harden.
Hard discs are more difficult to treat than soft discs, and if left untreated, they can severely press on the neural tubes and cause various sequelae, including spinal stenosis. In the early stages of a herniated disc, most people prioritize non-surgical treatment that waits for natural absorption, and it is ideal for them to recover in that way, but after a certain period of time, surgical treatment is necessary.
2. Surgery for hard discs
In the past, hard disc treatment often switched to microscopic surgery. In recent years, advances in technology have made it possible to perform endoscopic surgery on hard discs. In particular, with a two-way endoscope, even hard discs can be removed without any problems.
However, since there is a risk of nerve damage in rigid disc surgery, there is a significant burden on both the surgeon and the patient. Also, if the hard disc covers the entire lower back, you may want to consider spinal fusion, which involves a large skin incision of 10-12 cm or more. Spinal fusion is a representative treatment that has established a negative perception of back surgery in the past, and the risk of postoperative inflammation and sequelae is relatively high.
The principle of treatment for herniated discs may change depending on the nature of the disc, i.e., whether it is a hard or soft disc.
A soft disc is literally a soft disc in the early stages of a lumbar disc, and a rigid disc is a hardened disc. Rigid discs are formed when the soft disc is not properly absorbed or treated. It's a good idea to think of the occasional pimple or a small abscess on your face. Just as acne may heal on its own and disappear on its own, but may later turn hard and leave a trace, the soft tissue of the disc will also harden.
Hard discs are more difficult to treat than soft discs, and if left untreated, they can severely press on the neural tubes and cause various sequelae, including spinal stenosis. In the early stages of a herniated disc, most people prioritize non-surgical treatment that waits for natural absorption, and it is ideal for them to recover in that way, but after a certain period of time, surgical treatment is necessary.
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