Understanding The Pros And Cons Of Different Treatment Options For Disc Protrusion

In today’s article, we will explore the various treatment options available for disc protrusion and discuss their advantages and disadvantages. Whether you’re personally dealing with this condition or simply seeking to expand your knowledge, understanding the pros and cons of these treatment methods can provide valuable insight. By the end of this read, you’ll be equipped with the information needed to make informed decisions and better navigate your journey towards recovery. So, let’s dive right in and explore the world of disc protrusion treatments together!

Conservative Treatment Options

Physical Therapy

Physical therapy is a non-invasive treatment option that focuses on improving flexibility, strength, and function of the affected area. Through targeted exercises and stretches, a physical therapist can help you alleviate pain and restore mobility. They will also provide guidance on proper body mechanics to prevent further injury. The benefits of physical therapy include reduced pain, increased range of motion, and improved overall quality of life. However, it’s important to note that physical therapy may take time to show significant results, and it requires consistency and commitment to the treatment plan.

Chiropractic Care

Chiropractic care involves the manipulation of the spine and other joints to alleviate pain and promote healing. Chiropractors use manual techniques such as spinal adjustments, mobilizations, and soft tissue therapies to address disc protrusion symptoms. This non-surgical approach aims to restore proper alignment and mobility, reducing pressure on the affected discs. Chiropractic care can provide relief from pain and improve functional abilities. However, it’s important to consult with a qualified and licensed chiropractor to ensure proper treatment and avoid potential risks such as nerve damage.

Medication

Medication can play a crucial role in managing pain and inflammation associated with disc protrusion. Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help reduce both pain and swelling. If over-the-counter medications are not effective, your doctor may prescribe stronger pain medications, including muscle relaxants or opioids for short-term relief. However, it’s essential to use these medications as directed and be aware of potential side effects, such as drowsiness, gastrointestinal issues, and dependency. Medication should only be used as part of a comprehensive treatment plan, not as a standalone solution.

Epidural Steroid Injections

Epidural steroid injections (ESIs) are a conservative treatment option that aims to reduce inflammation and relieve pain in the affected area. During the procedure, a corticosteroid medication is injected directly into the space around the spinal nerves. This can provide significant pain relief, allowing individuals to participate in physical therapy and other rehabilitative treatments more comfortably. However, ESIs are not a permanent solution, and their effectiveness may vary from person to person. It’s important to note that repeated injections may be necessary, and there are potential risks involved, such as infection, nerve damage, or temporary worsening of symptoms.

Osteopathic Manipulative Treatment

Osteopathic manipulative treatment (OMT) is a hands-on technique used by osteopathic physicians to diagnose, treat, and prevent illness or injury. In the case of disc protrusion, OMT focuses on restoring normal range of motion, enhancing blood circulation, and reducing pain. It involves gentle manipulation of the affected area, including the spine, muscles, and soft tissues, to improve overall spinal function. OMT may be combined with other conservative treatments to achieve optimal results. While OMT can be beneficial, it’s important to consult with an experienced osteopathic physician to ensure safe and effective treatment.

Acupuncture

Acupuncture is an ancient Chinese therapy that involves the insertion of thin needles into specific points on the body to stimulate energy flow and promote healing. It is believed to help release endorphins, the body’s natural painkillers, and improve circulation. Acupuncture may provide temporary relief from disc protrusion symptoms, including pain and muscle tension. However, its effectiveness varies among individuals, and it may require multiple sessions to achieve significant results. It’s crucial to seek acupuncture treatment from a licensed and experienced practitioner to minimize potential risks, such as infection or injury.

Surgical Treatment Options

Discectomy

A discectomy is a surgical procedure that involves removing a portion or the entirety of a herniated or protruding disc. This procedure aims to relieve pressure on the nerves and alleviate symptoms such as pain, numbness, and weakness. Discectomy can be performed through traditional open surgery or minimally invasive techniques, depending on the severity and location of the disc protrusion. While discectomy can provide immediate relief in some cases, it’s important to consider the potential risks associated with surgery, including infection, bleeding, and nerve damage. Additionally, recovery time and rehabilitation may vary depending on the individual.

Microdiscectomy

Similar to a discectomy, microdiscectomy involves the removal of a portion of the herniated or protruding disc. However, microdiscectomy is performed using a smaller incision and specialized instruments, allowing for a less invasive approach. This technique reduces the risk of muscle and tissue damage, leading to faster recovery and lower chances of complications. Microdiscectomy can effectively relieve pressure on the nerves and improve symptoms associated with disc protrusion. Nonetheless, it’s important to consult with a surgeon to determine if you are a suitable candidate for this procedure and understand the potential benefits and risks.

Laminectomy

A laminectomy is a surgical procedure that involves removing part or all of the lamina, a small bony plate on the back of the vertebrae, to create more space for the nerves and alleviate pressure. This procedure aims to decompress the spinal canal and relieve symptoms caused by spinal stenosis or disc protrusion. Laminectomy may be performed in combination with other surgical interventions for optimal results. While this procedure can provide significant relief, it also carries potential risks and complications, including infection, spinal instability, or nerve damage. It’s crucial to discuss the benefits and risks with a qualified surgeon before considering laminectomy as a treatment option.

Laminotomy

Laminotomy is a surgical procedure that involves removing a small portion of the lamina to relieve pressure on the nerves and spinal canal. This procedure is similar to laminectomy but involves a smaller incision and removal of a smaller portion of the bony structure. Laminotomy can effectively address conditions such as spinal stenosis or disc protrusion, providing relief from symptoms and improving functional abilities. As with any surgical intervention, it’s important to weigh the potential risks, including infection, bleeding, and nerve damage, against the benefits of laminotomy. Consulting with a surgeon is essential to determine if this procedure is appropriate for your specific condition.

Spinal Fusion

Spinal fusion is a surgical procedure that aims to stabilize the spine by fusing two or more vertebrae together. This procedure can be used to treat various conditions, including severe disc protrusion, spinal deformities, or instability. Spinal fusion restricts movement and reduces pressure on the nerves, relieving symptoms and promoting healing. However, spinal fusion is a more invasive procedure compared to other surgical treatments and requires a longer recovery period. Also, it’s important to consider the potential risks, such as infection, blood clots, or failed fusion, before opting for spinal fusion as a treatment option. Consulting with a spine specialist can help determine if this surgical intervention is necessary and suitable for your condition.

Understanding The Pros And Cons Of Different Treatment Options For Disc Protrusion

Benefits and Risks of Conservative Treatment

Physical Therapy

Physical therapy offers numerous benefits for individuals with disc protrusion. Through targeted exercises and stretches, it can help reduce pain, restore mobility, and improve overall function. Physical therapists also provide education on proper body mechanics and lifestyle modifications to prevent further injury. The risks associated with physical therapy are minimal, mainly limited to temporary muscle soreness or exacerbation of symptoms during the initial stages of treatment. It’s crucial to work with a qualified physical therapist who can tailor the treatment plan to suit your specific needs and monitor your progress throughout the therapy sessions.

Chiropractic Care

Chiropractic care provides a conservative treatment option that can effectively alleviate pain and promote healing for individuals with disc protrusion. By manipulating the spine and joints, chiropractors aim to restore proper alignment and relieve pressure on the affected discs. The benefits of chiropractic care include reduced pain, improved mobility, and enhanced quality of life. However, it’s important to consider potential risks such as temporary soreness or stiffness, and in rare cases, nerve damage. Always consult with a licensed chiropractor and provide a detailed medical history to ensure safe and effective treatment.

Medication

Medication offers short-term relief from pain and inflammation associated with disc protrusion. Nonsteroidal anti-inflammatory drugs (NSAIDs) can effectively reduce both pain and swelling, promoting improved comfort and mobility. However, it’s important to use these medications as directed and be aware of potential risks and side effects. NSAIDs may cause gastrointestinal issues, elevations in blood pressure, or ulcers with prolonged use. Stronger pain medications, such as opioids, should only be used for short periods under close medical supervision due to the risk of dependency and other serious side effects. Consulting with a healthcare professional can help determine the appropriate medication and dosage for your specific condition.

Epidural Steroid Injections

Epidural steroid injections (ESIs) can provide significant pain relief for individuals with disc protrusion. By injecting a corticosteroid medication directly into the affected area, inflammation is reduced, and symptoms are alleviated. The benefits of ESIs include reduced pain, increased ability to participate in physical therapy, and improved overall function. However, it’s important to consider potential risks and side effects, including temporary worsening of symptoms, infection, nerve damage, or hormonal imbalances. Repeated injections may be necessary, and the effectiveness of ESIs can vary from person to person. Always consult with a qualified healthcare professional to determine if ESIs are a suitable treatment option for you.

Osteopathic Manipulative Treatment

Osteopathic manipulative treatment (OMT) offers a holistic approach to managing disc protrusion symptoms. By focusing on restoring normal range of motion, enhancing blood circulation, and reducing pain, OMT can provide relief and improve overall spinal function. The benefits of OMT include reduced pain, improved mobility, and enhanced well-being. However, it’s important to consult with a qualified osteopathic physician to ensure safe and effective treatment. Potential risks are minimal and mainly limited to temporary muscle soreness or fatigue. OMT can complement other conservative treatments and be integrated into a comprehensive treatment plan tailored to your specific needs.

Acupuncture

Acupuncture offers a natural and non-invasive treatment option for individuals with disc protrusion. By stimulating specific points on the body, acupuncture aims to restore energy flow and promote healing. The benefits of acupuncture include pain relief, muscle relaxation, and improved overall well-being. However, as with any form of treatment, there are potential risks to consider. While acupuncture is generally safe when administered by a licensed practitioner, there is a slight risk of infection, bleeding, or injury. It may also require multiple sessions to achieve significant results. Before starting acupuncture treatment, consult with a qualified practitioner to assess its suitability for your specific condition.

Benefits and Risks of Surgical Treatment

Discectomy

A discectomy offers a surgical solution for individuals with severe disc protrusion. By removing a portion or the entire herniated disc, pressure on the nerves is relieved, and symptoms are alleviated. The benefits of discectomy include immediate pain relief and improved function. However, it’s important to consider the potential risks associated with surgery, such as infection, bleeding, nerve damage, or recurrence of disc protrusion. Recovery time can vary depending on the individual and the type of procedure performed. Physical therapy and rehabilitation are typically recommended to optimize recovery and minimize the risk of complications.

Microdiscectomy

Microdiscectomy is a less invasive surgical procedure compared to traditional discectomy. By utilizing a smaller incision and specialized instruments, microdiscectomy aims to remove the herniated disc while minimizing damage to surrounding structures. The benefits of microdiscectomy include reduced post-operative pain, shorter hospital stay, and faster recovery. However, there are still potential risks associated with surgery, including infection, bleeding, nerve damage, or recurrence of disc protrusion. While microdiscectomy can provide significant relief, it’s essential to consult with a qualified surgeon to determine if this procedure is suitable for your specific condition.

Laminectomy

Laminectomy offers a surgical treatment option for individuals with spinal stenosis or severe disc protrusion. By removing part or all of the lamina, pressure on the nerves is relieved, and symptoms are alleviated. The benefits of laminectomy include reduced pain, improved mobility, and enhanced quality of life. However, it’s crucial to consider potential risks and complications, including infection, bleeding, nerve damage, or spinal instability. Recovery time and rehabilitation may vary depending on the individual and the extent of the procedure. Consulting with a qualified surgeon can help assess the benefits and risks of laminectomy for your specific condition.

Laminotomy

Laminotomy is a surgical procedure that provides relief for individuals with spinal stenosis or disc protrusion. By removing a small portion of the lamina, pressure on the nerves and spinal canal is reduced. Laminotomy can effectively alleviate symptoms and improve functional abilities. As with any surgical procedure, there are potential risks, including infection, bleeding, nerve damage, or worsening of symptoms. It’s important to consult with a qualified spine specialist to determine if laminotomy is a suitable treatment option for your specific condition. Recovery time and rehabilitation may vary depending on the individual and the extent of the procedure.

Spinal Fusion

Spinal fusion is a surgical procedure that aims to stabilize the spine by fusing two or more vertebrae together. This procedure can be beneficial for individuals with severe disc protrusion, spinal deformities, or instability. The benefits of spinal fusion include reduced pain, increased spinal stability, and improved overall function. However, spinal fusion is a more invasive procedure compared to other surgical options, and it requires a longer recovery period. It’s crucial to consider potential risks and complications, such as infection, blood clots, or failed fusion, before opting for spinal fusion. Consulting with a qualified spine specialist is essential to assess the potential benefits and risks of this surgical intervention for your specific condition.

Understanding The Pros And Cons Of Different Treatment Options For Disc Protrusion

Effectiveness of Conservative Treatments

Physical Therapy

Physical therapy has been proven to be an effective conservative treatment option for individuals with disc protrusion. Research studies have shown that targeted exercises and stretches can reduce pain, improve mobility, and enhance overall function. Physical therapy also plays a crucial role in preventing recurrent disc protrusion by teaching proper body mechanics and providing guidance on exercise programs tailored to specific needs. While it may take time to see significant results, consistent and dedicated participation in physical therapy can lead to long-lasting improvements in pain management and functional abilities.

Chiropractic Care

Chiropractic care has shown promising results in managing disc protrusion symptoms. Studies have suggested that spinal manipulation performed by qualified chiropractors can provide pain relief and improve overall function. Chiropractic care may also aid in reducing the need for surgical intervention in certain cases. However, it’s important to note that the effectiveness of chiropractic treatment may vary among individuals, and more research is needed to establish its efficacy. The benefit of chiropractic care lies in its non-invasive approach, providing a conservative treatment option for those seeking alternatives to surgery or medication.

Medication

The use of medication can be beneficial in managing pain and inflammation associated with disc protrusion. Nonsteroidal anti-inflammatory drugs (NSAIDs) have been shown to be effective in reducing pain and swelling, making them a common choice for conservative treatment. However, it’s important to use medication as part of a comprehensive treatment plan and under the guidance of a healthcare professional. Medication alone is not a long-term solution and should be combined with other conservative treatments, such as physical therapy or chiropractic care, to achieve optimal results. Additionally, it’s crucial to be aware of potential risks and side effects associated with medication use.

Epidural Steroid Injections

Epidural steroid injections (ESIs) have demonstrated effectiveness in providing short-term pain relief for individuals with disc protrusion. Research studies have shown that ESIs can reduce inflammation and alleviate symptoms, allowing individuals to participate in physical therapy and other rehabilitative treatments more comfortably. However, the effectiveness of ESIs may vary among individuals, and their long-term benefits are still debated. Some individuals may experience temporary pain relief, while others may experience no improvement at all. The decision to undergo ESI should be made after careful consideration of potential risks, benefits, and consultation with a qualified healthcare professional.

Osteopathic Manipulative Treatment

Osteopathic manipulative treatment (OMT) has shown promising results in managing disc protrusion symptoms. Research studies have indicated that OMT can provide pain relief, improve mobility, and enhance overall spinal function. By utilizing hands-on techniques to restore normal range of motion and enhance blood circulation, OMT aims to promote healing and alleviate symptoms. OMT may be particularly beneficial when combined with other conservative treatments, such as physical therapy or medication. However, more research is needed to establish the effectiveness of OMT in comparison to other treatment options for disc protrusion.

Acupuncture

Acupuncture has been used for centuries as a traditional Chinese therapy for pain management and general well-being. While there is limited scientific evidence on the effectiveness of acupuncture in treating disc protrusion, some studies have suggested that it may provide temporary pain relief and muscle relaxation. Acupuncture works by stimulating specific points on the body, which is believed to release endorphins and promote healing. However, individual responses to acupuncture may vary, and more research is needed to establish its efficacy. Acupuncture can be considered as a complementary treatment option alongside other conservative treatments, but it should not replace medical advice or other evidence-based interventions.

Effectiveness of Surgical Treatments

Discectomy

Discectomy has been shown to be effective in providing immediate pain relief and improving functional abilities for individuals with disc protrusion. Research studies have demonstrated its efficacy in reducing pain, improving mobility, and enhancing overall quality of life. Discectomy can be performed through traditional open surgery or minimally invasive techniques, depending on the specific case. While discectomy offers significant benefits, it’s important to consider the potential risks and complications associated with surgical intervention. Of note, the recurrence of disc protrusion is possible, and long-term outcomes may vary. It’s crucial to consult with a qualified surgeon to determine if discectomy is the most appropriate treatment option for your specific condition.

Microdiscectomy

Microdiscectomy has shown similar effectiveness to traditional discectomy in relieving pain and improving function for individuals with disc protrusion. Research studies have indicated that microdiscectomy can provide significant pain relief, shorter hospital stay, and faster recovery compared to open surgery. The benefits of microdiscectomy include reduced post-operative pain and lower risks of muscle and tissue damage. However, it’s important to note that the recurrence of disc protrusion is still possible, and individual outcomes may vary. Consulting with a qualified surgeon is essential to determine if microdiscectomy is a suitable treatment option for your specific condition.

Laminectomy

Laminectomy has been shown to be effective in relieving symptoms and improving overall function for individuals with disc protrusion or spinal stenosis. Research studies have indicated that laminectomy can significantly reduce pain, improve mobility, and enhance quality of life. The benefits of laminectomy lie in its ability to decompress the spinal canal and alleviate pressure on the nerves. However, it’s important to consider the potential risks and complications associated with surgery, such as infection, bleeding, or nerve damage. Recovery time and rehabilitation may also vary depending on the individual and the extent of the procedure. Consulting with a qualified spine specialist is crucial to assess the potential benefits and risks of laminectomy for your specific condition.

Laminotomy

Laminotomy has shown effectiveness in reducing symptoms and improving functional abilities for individuals with disc protrusion or spinal stenosis. Research studies have indicated that laminotomy can effectively relieve pressure on the nerves and spinal canal, leading to pain relief and improved mobility. The benefits of laminotomy include reduced pain, enhanced quality of life, and the ability to participate in activities without restrictions. However, it’s important to consider potential risks, including infection, bleeding, nerve damage, or temporary worsening of symptoms. Recovery time and rehabilitation may vary depending on the individual and the extent of the procedure. Consulting with a qualified spine specialist can help assess the potential benefits and risks of laminotomy for your specific condition.

Spinal Fusion

Spinal fusion has shown effectiveness in stabilizing the spine and reducing pain for individuals with severe disc protrusion or spinal deformities. Research studies have indicated that spinal fusion can provide significant pain relief, increase spinal stability, and improve overall function. The benefits of spinal fusion lie in its ability to restrict movement and reduce pressure on the nerves, relieving symptoms and promoting healing. However, it’s important to consider potential risks and complications, such as infection, blood clots, or failed fusion. Recovery time and rehabilitation are generally longer compared to other surgical treatment options. Consulting with a qualified spine specialist is essential to assess the potential benefits and risks of spinal fusion for your specific condition.

Understanding The Pros And Cons Of Different Treatment Options For Disc Protrusion

Costs of Conservative Treatments

Physical Therapy

The cost of physical therapy for disc protrusion can vary depending on various factors, including the location, duration, and frequency of sessions. In general, the cost can range from $50 to $200 per session. Some insurance plans may cover a portion of physical therapy costs, but it’s important to check with your provider to understand the extent of coverage. Additionally, there may be additional expenses related to equipment or home exercise programs recommended by the physical therapist. While physical therapy can incur costs, it is generally a more affordable option compared to surgical treatments, and its long-term benefits in pain management and functional improvement may outweigh the initial investment.

Chiropractic Care

The cost of chiropractic care for disc protrusion can vary depending on the geographic location, experience of the chiropractor, and the specific treatment plan recommended. In general, an initial visit can range from $60 to $200, with subsequent visits costing between $40 to $100. Some insurance plans may cover chiropractic care, but it’s recommended to check with your provider to confirm coverage. It’s important to note that the total cost of chiropractic care can add up based on the frequency and duration of visits required for your specific condition. However, compared to surgical treatments, chiropractic care is generally a more cost-effective option.

Medication

The cost of medication for disc protrusion can vary depending on the type of medication, dosage, and whether generic or brand-name drugs are prescribed. Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) can cost between $5 and $20 per month, while prescription medications may range from $20 to $200 per month, depending on the specific drug and insurance coverage. It’s important to check with your healthcare provider and insurance company to understand the financial implications of prescribed medications. Additionally, it’s crucial to consider potential long-term costs associated with prolonged medication use, such as regular doctor visits or additional tests to monitor side effects.

Epidural Steroid Injections

The cost of epidural steroid injections (ESIs) can vary depending on factors such as location, healthcare provider, and the specific type of injection performed. In general, the cost of a single ESI can range from $500 to $1,500. It’s important to note that multiple injections may be necessary, and the total cost can add up accordingly. Additionally, it’s essential to check with your insurance provider to understand the extent of coverage for ESIs. While ESIs can incur costs, they may be a more cost-effective option compared to surgery for individuals who experience significant pain relief and avoid the need for more invasive interventions.

Osteopathic Manipulative Treatment

The cost of osteopathic manipulative treatment (OMT) can vary depending on factors such as geographic location, experience of the osteopathic physician, and the specific treatment plan recommended. In general, the cost of an OMT session can range from $75 to $200. Some insurance plans may cover a portion or all of the cost of OMT, but it’s recommended to check with your provider to confirm coverage. It’s important to note that the number of sessions required may vary depending on the specific condition and individual response to treatment. While OMT may involve costs, it can provide long-term benefits that contribute to improved pain management and overall well-being.

Acupuncture

The cost of acupuncture for disc protrusion can vary depending on factors such as geographic location, experience of the acupuncturist, and the duration of the session. In general, an acupuncture session can cost between $60 and $120. Some insurance plans may cover acupuncture treatments partially or in full, but it’s important to check with your provider to confirm coverage. It’s crucial to consider the frequency and duration of acupuncture sessions recommended by the acupuncturist, as they can influence the total cost of treatment. While acupuncture can involve costs, it may offer a more affordable alternative to surgical treatments for individuals seeking non-invasive options.

Costs of Surgical Treatments

Discectomy

The cost of a discectomy can vary depending on factors such as geographical location, healthcare provider, and the specific procedure performed. In general, the cost can range from $8,000 to $25,000 or more, including surgeon fees, anesthesia fees, hospital charges, and post-operative care. Additionally, there may be additional costs for pre-operative tests, imaging, medications, and rehabilitation. It’s important to check with your insurance provider to understand the coverage for surgical treatments and out-of-pocket expenses. While the cost of a discectomy can be significant, it may be necessary for individuals who do not find sufficient relief from conservative treatments and experience significant functional limitations.

Microdiscectomy

The cost of a microdiscectomy can vary depending on factors such as geographical location, healthcare provider, and the specific procedure performed. In general, the cost can range from $10,000 to $30,000 or more, including surgeon fees, anesthesia fees, hospital charges, and post-operative care. Additional costs may include pre-operative tests, imaging, medications, and rehabilitation. It’s important to check with your insurance provider to understand the coverage for surgical treatments and any potential out-of-pocket expenses. While the cost of a microdiscectomy can be significant, it may offer advantages such as shorter hospital stays and faster recovery compared to traditional discectomy.

Laminectomy

The cost of a laminectomy can vary depending on factors such as geographical location, healthcare provider, and the specific procedure performed. In general, the cost can range from $15,000 to $50,000 or more, including surgeon fees, anesthesia fees, hospital charges, and post-operative care. It’s important to consider additional expenses such as pre-operative tests, imaging, medications, and rehabilitation. Checking with your insurance provider is crucial to understand coverage and potential out-of-pocket expenses. While the cost of a laminectomy can be significant, it may provide the necessary relief for individuals with severe disc protrusion or spinal stenosis who have not found sufficient relief from conservative treatments.

Laminotomy

The cost of a laminotomy can vary depending on various factors, including geographical location, healthcare provider, and the specific procedure performed. In general, the cost can range from $10,000 to $40,000 or more, including surgeon fees, anesthesia fees, hospital charges, and post-operative care. Additional costs may include pre-operative tests, imaging, medications, and rehabilitation. It’s important to consult with your insurance provider to understand the coverage for surgical treatments and any potential out-of-pocket expenses. While the cost of a laminotomy can be significant, it may provide relief for individuals with disc protrusion or spinal stenosis who have not found sufficient relief from conservative treatments.

Spinal Fusion

The cost of spinal fusion can vary depending on factors such as geographical location, healthcare provider, and the specific procedure performed. In general, the cost can range from $50,000 to $100,000 or more, including surgeon fees, anesthesia fees, hospital charges, and post-operative care. Additional expenses may include pre-operative tests, imaging, medications, and rehabilitation. It’s important to check with your insurance provider to understand the coverage for surgical treatments and any potential out-of-pocket expenses. The cost of spinal fusion is typically higher compared to other surgical treatment options due to its complexity and longer recovery time. However, it may be necessary for individuals with severe disc protrusion or spinal deformities who have exhausted conservative treatment options.