A method and apparatus are provided to manipulate and revitalize a spinal column disc, including an annulus, while minimizing or preventing the removal of material comprising the disc. The method allows a device to be inserted in the disc either through a pre-existing rupture or through an opening formed in the front, back, or sides of the disc. Increasing the space between the vertebra bounding the disc often is not necessary to insert the device in the disc. The device generates internal traction or other forces acting on the disc to alter the shape and dimension of the disc. The shape and dimension of the disc is altered to relieve pressure on nerves adjacent the disc. The shape and dimension of the disc is also altered to draw nuclear hernias back into the disc and to produce a disc shape and dimension that improves functioning of the disc.