Is surgery mandatory for a disc prolapse ?

No, surgery is not always required because a prolapsed disc can heal naturally through the immune system. When the nucleus pulposus herniates into the spinal canal and causes sciatica, the body initiates a process called phagocytosis. During this biological mechanism, specialized immune cells known as macrophages break down the herniated fragments and eat them away. Approximately 66.66% of prolapses heal on their own over time, depending on the size of the herniated fragment.

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