
Is it possible to manually locate a herniated disc?

Is it possible to manually locate a herniated disc?
One of the most common traditional methods used by patients experiencing back pain and diagnosed with a herniated disc is to visit someone who claims to manually locate the herniated disc. Is this true? Of course not! Even in the thinnest person, there's a distance of 5-6 cm between the herniated disc and the area where manual therapy is claimed. Approximately 4-5 cm of this is formed by a bony canal, which is impossible to manipulate. Furthermore, the skin and subcutaneous fat, which vary depending on the patient's weight, exceed 1 cm even in the thinnest person. Therefore, such intervention is not possible. However, for unruptured (not extruded/migrated or sequestered) subcapsular (annulus fibrosis) hernias, controlled traction by a physical therapist may be beneficial.