Regression of an extruded lumbar disc herniation after thermomechanical massage bed therapy

Introduction Many patients with extruded lumbar disc herniation require surgical intervention but some neurological symptoms of intervertebral disc herniation may often improve with conservative treatment. Patients usually try various treatment methods ranging from alternative treatments to surgery1,2. Recently, a new thermomechanical massage device has emerged, primarily in Asian countries, with considerable anecdotal evidence of health benefits3. These devices have been increasingly used for self-directed health care in Turkey, and are sold through a variety of commercial and web-based outlets. The manufacturer claims that these thermomechanical massage beds are helpful in reducing musculoskeletal pain, improving digestion, appetite and bowel function, although there is no supporting documentation3. Although the literature contains several reports of the spontaneous regression of herniated intervertebral discs without surgical management, the exact mechanism of spontaneous disc regression remains unknown4–6. This report presents a patient who experienced a large lumbar extruded lumbar disc herniation, which regressed with thermomechanical massage bed treatment.