Spinal manipulations have been shown to be efficient for common low back pain; they remain an option in the treatment of symptomatic lumbar disk herniation. From data in the literature, the author discusses the interest of spinal manipulations with a "thrust" at the level of disk herniation and concludes that this therapy, performed by an experienced physician and under conditions of strict application, could be an option in the treatment of subacute and chronique disc herniation.