Symptomatic management is required for those with significant symptoms, which may include dehydration with mannitol or sodium heptaerythrone to relieve nerve root compression, or non-steroidal anti-inflammatory analgesics such as celecoxib capsules for anti-inflammatory analgesia to relieve the manifestations of nerve dysfunction. Pelvic traction may be used in patients with initial or recurrent acute episodes.
For long duration, recurrent episodes, severe symptoms combined with spinal stenosis and where conservative treatment is ineffective, surgical treatment is possible. For example, laminectomy and nucleus pulposus removal, percutaneous foraminoplasty and nucleus pulposus removal.