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PIVD (Slip Disk) or most of time problems (not calling dis case) related to spine are due to life style or postural problem. More sitting, driving, bending, More table working (on computer) standing, Travelling (excess) and sometimes due to sudden falling, pushing, pulling or jerk or some cases in accident are most of major causes of PIVD. Some athletes and other sports persons also face this problem (Cricket, Hockey, Golfers, Tennis Players, Weight Lifters etc.)
a) Rest: Rest and Anti-inflammatory and analgesics.
b) Reduction: Continue bed rest and traction for 2 weeks may reduce the Herniation in over 90% cases. If no improvement with rest and traction, epidural injection of corticosteroid and local Anaesthetic are given.
c) Chemonucleolysis: Dissolution of the Nucleus Pulposus by Percutaneous injection of a Proteolytic enzyme (Chymopapain). This enzyme has the property of dissolving fibrous and cartilaginous tissue.