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	<title>Comments on: How do you treat a bulging disc?</title>
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	<description>Breaking News, Expert Tips. Get the Answers You&#039;re Looking On Bulging Disc Surgery.</description>
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		<title>By: Lightning</title>
		<link>http://bulgingdiscsurgery.net/how-do-you-treat-a-bulging-disc/comment-page-1/#comment-71</link>
		<dc:creator>Lightning</dc:creator>
		<pubDate>Sat, 10 Apr 2010 03:43:02 +0000</pubDate>
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		<description>I have to agree with doctor J here. There are very few RCT&#039;s for surgery so you are effectively choosing an unproven treatment. I don&#039;t have a problem with that as I beleive surgeons are suitably skilled to make clinical decisions on treatment plans based on knowledge and experience just like I am and chiropractors are.
Also when doing comparative studies for disc bulges from surgery and non surgery groups who have had conservative treatment instead, 12 months later the outcome is very similar.

I&#039;d like to ask why he wants to opperate immediately though.
is the bulge unusually large or in a bad position?
Even less likely, is the spinal cord being pressed?
Are you starting to get nerve damage and or muscle wasting?
In cases like these immediate surgery may be indicated otherwise whats the hurry? perhaps a more conservative option would be prudent 1st before surgery.</description>
		<content:encoded><![CDATA[<p>I have to agree with doctor J here. There are very few RCT&#8217;s for surgery so you are effectively choosing an unproven treatment. I don&#8217;t have a problem with that as I beleive surgeons are suitably skilled to make clinical decisions on treatment plans based on knowledge and experience just like I am and chiropractors are.<br />
Also when doing comparative studies for disc bulges from surgery and non surgery groups who have had conservative treatment instead, 12 months later the outcome is very similar.</p>
<p>I&#8217;d like to ask why he wants to opperate immediately though.<br />
is the bulge unusually large or in a bad position?<br />
Even less likely, is the spinal cord being pressed?<br />
Are you starting to get nerve damage and or muscle wasting?<br />
In cases like these immediate surgery may be indicated otherwise whats the hurry? perhaps a more conservative option would be prudent 1st before surgery.</p>
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		<title>By: Mr E</title>
		<link>http://bulgingdiscsurgery.net/how-do-you-treat-a-bulging-disc/comment-page-1/#comment-70</link>
		<dc:creator>Mr E</dc:creator>
		<pubDate>Sat, 10 Apr 2010 03:13:52 +0000</pubDate>
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		<description>has he got an upcoming vacation? what&#039;s the big hurry? i would see an upper cervical specific chiropractor to relieve the cord pressure at the top, maintain the correction, and see what your body can do given a little time. i can&#039;t believe some people- they will try to scare you away from conservative, non-invasive chiropractic care, but then tell you it&#039;s fine to go get your neck cut with a scalpel. maybe they should try it first.</description>
		<content:encoded><![CDATA[<p>has he got an upcoming vacation? what&#8217;s the big hurry? i would see an upper cervical specific chiropractor to relieve the cord pressure at the top, maintain the correction, and see what your body can do given a little time. i can&#8217;t believe some people- they will try to scare you away from conservative, non-invasive chiropractic care, but then tell you it&#8217;s fine to go get your neck cut with a scalpel. maybe they should try it first.</p>
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		<title>By: Doctor  J</title>
		<link>http://bulgingdiscsurgery.net/how-do-you-treat-a-bulging-disc/comment-page-1/#comment-69</link>
		<dc:creator>Doctor  J</dc:creator>
		<pubDate>Sat, 10 Apr 2010 02:45:46 +0000</pubDate>
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		<description>You gotta love the skepdoc.  So skeptical of Chiropractic but not skeptical of DANGEROUS AND UNPROVEN SURGERIES.  

The key issue for you is WHY is your surgeon recommending &quot;immediate&quot; surgery?  And, is your Neurologist recommending it?  And, did you get a 2nd opinion from an independent source that is also recommending it?

As a retired Chiropractor, I have a LOT more training and experience in the role of Chiropractic in the diagnosis and treatment of cervical spinal conditions than does the Skepdoc ( who has NO training in Chiropractic medicine).  Per my suggestion above about a 2nd opinion, it might be wise to have a thorough evaluation by your family Chiropractor.  I have often referred patients for spinal surgery.  Sadly, because the medical profession still lacks even basic knowledge about the Chiropractic profession, only rarely do surgeons refer their non-surgical cases to Chiropractors (though I have had several such referrals).

Bottom line:  you need to know why surgery is needed, and you need confirmation from 2nd and 3rd parties (e.g. a Neruologist and your family Chiropractor) that surgery is needed.  If surgery is needed, then surgery is needed.  But if it is not needed, a lot of risks and dangers are associated with it (just ask the Skepdoc about the dangers of ANY spinal surgery).

Best wishes and good luck.</description>
		<content:encoded><![CDATA[<p>You gotta love the skepdoc.  So skeptical of Chiropractic but not skeptical of DANGEROUS AND UNPROVEN SURGERIES.  </p>
<p>The key issue for you is WHY is your surgeon recommending &#8220;immediate&#8221; surgery?  And, is your Neurologist recommending it?  And, did you get a 2nd opinion from an independent source that is also recommending it?</p>
<p>As a retired Chiropractor, I have a LOT more training and experience in the role of Chiropractic in the diagnosis and treatment of cervical spinal conditions than does the Skepdoc ( who has NO training in Chiropractic medicine).  Per my suggestion above about a 2nd opinion, it might be wise to have a thorough evaluation by your family Chiropractor.  I have often referred patients for spinal surgery.  Sadly, because the medical profession still lacks even basic knowledge about the Chiropractic profession, only rarely do surgeons refer their non-surgical cases to Chiropractors (though I have had several such referrals).</p>
<p>Bottom line:  you need to know why surgery is needed, and you need confirmation from 2nd and 3rd parties (e.g. a Neruologist and your family Chiropractor) that surgery is needed.  If surgery is needed, then surgery is needed.  But if it is not needed, a lot of risks and dangers are associated with it (just ask the Skepdoc about the dangers of ANY spinal surgery).</p>
<p>Best wishes and good luck.</p>
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		<title>By: SkepDoc 3.0</title>
		<link>http://bulgingdiscsurgery.net/how-do-you-treat-a-bulging-disc/comment-page-1/#comment-68</link>
		<dc:creator>SkepDoc 3.0</dc:creator>
		<pubDate>Sat, 10 Apr 2010 02:22:16 +0000</pubDate>
		<guid isPermaLink="false">http://bulgingdiscsurgery.net/how-do-you-treat-a-bulging-disc/#comment-68</guid>
		<description>Bulging discs in the neck in fact may be operated on, and sometimes urgently. Of course it depends on the severity of your symptoms and the exact location....you don&#039;t mention any of those details, so what follows is generic.

Bulging discs are more commonly found in the lumbar (low back) region, and surgery on these is rarely done any more, and more conservative measures are typically used.  The jury is actually out on the long term benefits..or lack...or traction devices, especially on the neck. They may provide short term relief of symptoms, but many of them are total scams.
http://www.cbc.ca/marketplace/2010/stretching_the_truth/main.html

You should never let a chiropractor work on your neck at all, and certainly not when you have a known condition that may require surgery.  Chiropractic thrusts in that setting could render you a quadriplegic. Even in normal healthy people it sometimes  results in stroke or death. Yes..this is rare..but since there is zero benefit..is the risk of death or paralysis worth it?

Please ask your doctor why he recommends surgery, why immediately, what alternatives to surgery are available, what may happen if you don&#039;t get surgery, or even for a second opinion from another surgeon.
------------------------------
Dr J...outside of your usual snide sarcasm...you may note that I recommended getting a second opinion, finding out why the surgeon recommended immediate surgery etc. Since the questioner described no details at all, no further advice can be given.
Your bizarre comment on DANGEROUS AND UNPROVEN SURGERIES is a bit of a non-sequitar, besides being completely false.  It would be unethical to do nothing for some people and do surgery on others....RCT are not always possible.
One doesn&#039;t need to be specifically trained in astrology or witchcraft to know that it is nonsense. 
The same applies to the Palmerian chiropractic bullshit that you espouse.  The world is a much safer place with one less straight chiropractor practising....thankyou for retiring.</description>
		<content:encoded><![CDATA[<p>Bulging discs in the neck in fact may be operated on, and sometimes urgently. Of course it depends on the severity of your symptoms and the exact location&#8230;.you don&#8217;t mention any of those details, so what follows is generic.</p>
<p>Bulging discs are more commonly found in the lumbar (low back) region, and surgery on these is rarely done any more, and more conservative measures are typically used.  The jury is actually out on the long term benefits..or lack&#8230;or traction devices, especially on the neck. They may provide short term relief of symptoms, but many of them are total scams.<br />
<a href="http://www.cbc.ca/marketplace/2010/stretching_the_truth/main.html" rel="nofollow">http://www.cbc.ca/marketplace/2010/stretching_the_truth/main.html</a></p>
<p>You should never let a chiropractor work on your neck at all, and certainly not when you have a known condition that may require surgery.  Chiropractic thrusts in that setting could render you a quadriplegic. Even in normal healthy people it sometimes  results in stroke or death. Yes..this is rare..but since there is zero benefit..is the risk of death or paralysis worth it?</p>
<p>Please ask your doctor why he recommends surgery, why immediately, what alternatives to surgery are available, what may happen if you don&#8217;t get surgery, or even for a second opinion from another surgeon.<br />
&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;<br />
Dr J&#8230;outside of your usual snide sarcasm&#8230;you may note that I recommended getting a second opinion, finding out why the surgeon recommended immediate surgery etc. Since the questioner described no details at all, no further advice can be given.<br />
Your bizarre comment on DANGEROUS AND UNPROVEN SURGERIES is a bit of a non-sequitar, besides being completely false.  It would be unethical to do nothing for some people and do surgery on others&#8230;.RCT are not always possible.<br />
One doesn&#8217;t need to be specifically trained in astrology or witchcraft to know that it is nonsense.<br />
The same applies to the Palmerian chiropractic bullshit that you espouse.  The world is a much safer place with one less straight chiropractor practising&#8230;.thankyou for retiring.</p>
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		<title>By: dbobo</title>
		<link>http://bulgingdiscsurgery.net/how-do-you-treat-a-bulging-disc/comment-page-1/#comment-67</link>
		<dc:creator>dbobo</dc:creator>
		<pubDate>Sat, 10 Apr 2010 02:08:50 +0000</pubDate>
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		<description>I had one in my back  and my DC corrected it without operating, hope that helps.</description>
		<content:encoded><![CDATA[<p>I had one in my back  and my DC corrected it without operating, hope that helps.</p>
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		<title>By: fretochose</title>
		<link>http://bulgingdiscsurgery.net/how-do-you-treat-a-bulging-disc/comment-page-1/#comment-66</link>
		<dc:creator>fretochose</dc:creator>
		<pubDate>Sat, 10 Apr 2010 01:43:32 +0000</pubDate>
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		<description>most neurosurgeons do not operate on a bulging disc. usually it is a herniated/ruptured disc that requires surgery. a physical therapist or chiropractor can apply gentle traction, teach you to do the same at home with an inexpensive device, and you can be symptom free in a short time. you will need to follow up at intervals with either</description>
		<content:encoded><![CDATA[<p>most neurosurgeons do not operate on a bulging disc. usually it is a herniated/ruptured disc that requires surgery. a physical therapist or chiropractor can apply gentle traction, teach you to do the same at home with an inexpensive device, and you can be symptom free in a short time. you will need to follow up at intervals with either</p>
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