How Do You Know If Back Pain Is From Muscle or Disc? Figure it out now!
ฝัง
- เผยแพร่เมื่อ 7 ส.ค. 2024
- www.revisionhealthservices.co...
Core Strengthening book I wrote with my wife: t.ly/5jC0v
Free 27 Hip and Lower Back Stretches PDF: www.mddpt.com/27lowerbackstre...
Free Core Strengthening PDFs: www.corestrengthexercise.com/
My patients with lower back pain often want to know if their pain is coming from their disc or muscles. If this just happened it can hard to figure the exact cause. With some tests and pattern recognition we can figure out if this pain is from muscle or disc! This video should help you have a better understanding what is going on.
00:00 Introduction
00:47 Pain from the disc?
03:28 What muscle feels like!
04:20 Throwing back out
05:50 Summary of both
________________________________________________________________________________________________
Efficient Exercises for Core Strength Training book: rb.gy/c2al8s
Check out my blog where I talk about back pain facts, myths, and home remedies!
www.revisionhealthservices.co...
Dr. Michael Derry, DPT is an orthopedic specialist to help you stay active, and build resilience so you can have the life you deserve.
It's time to bring together experts, evidence, and unbiased recommendations for the treatment of lower back pain in your home. It should not take fancy equipment or tons of time to start feeling better. Pain relief comes from hard work with a dose of knowledge and know-how.
Let's learn together, move together, and feel better together!
Make sure you subscribe: / @theresilientspine
Dr. Michael Derry, DPT is an orthopedic specialist to help you stay active, and build resilience so you can have the life you deserve.
License number: PT35704
Website: www.revisionhealthservices.com
Facebook: / revisionhealthjax
Instagram: / revisionhealthjax
Disclaimer: Revision Health Services (RHS) commonly utilizes experience and evidence to guide education and advice that is appropriate for those with injury or illness. RHS is not responsible for injury or personal harm that may result from information found on this website because, due to the variability between individuals, the information displayed does not represent every person’s potential injury or condition. It is not possible to provide a diagnosis, prognosis, and intervention without a comprehensive evaluation by the appropriate medical professional. Therefore, any advice or information provided for a particular injury or condition can not be considered appropriate and applicable without a legitimate medical examination. The risk for injury is possible if precautions are not taken and one does not seek a professional medical assessment about their injury or condition. No guarantees about results are expressly made or suggested from this information.
![[ไฮไลต์] รอบชิงชนะเลิศ "เทนนิส พาณิภัค" ไทย vs จีน Guo Qing เทควันโดหญิง 49kg | โอลิมปิก 2024](http://i.ytimg.com/vi/xgvTIdE8j3U/mqdefault.jpg)
Thank you great information 🙏
Awesome! Glad you think so!
Thank you great video and explanation ❤❤❤❤
thank you so much! Thank you for watching
I hurt my back deadlifting in the gym 3 days ago. I did feel a twinge, or spasm (maybe even pop) the moment it happened. It was actually not painful until a few hours later. Currently, the pain is persisting. I have discomfort when i stand up, especially after waking up. Actually, it is so painful that I can barely stand and I walk hunched over. However, a hot shower, OTC meds, and icing usually loosens up my back where I can walk normally again. Laying down and sitting downs alleviates my symptoms. Pain is centralized in lower back and is not radiating down any extremities. I do have some popping and cracking in my back though.
I believe the underlying issue is a muscle sprain opposed to a disc related issue but I do not know for certain. Going to wait a full week before I go to a provider because I do feel like there is improvements.
Sounds like that is a classic spasm! I typically recommend heat but in the end, it's what ever feels better for your body. I am certain everyday will feel better for you!
@@TheResilientSpine thanks for a response. good video. a like 👍 from me.
I am 15 years old and 3 days ago I hurt my back while doing calf raises on a squat rack and accidentally (in a way) dropped the weight on my back. In the moment of the injury, my voice faintly came out and it was mildly hard to breathe and I had to brace myself and sit down for a little bit. After a day I figured that the pain and discomfort was focused around my mid back and I did not experience the pain radiating anywhere else and my chest felt slightly tighter. But I still was not sure if it was nervous or muscular as I could still feel my spine hurting if I puffed up my chest.
I’ve been taking hot water shower, Tylenol, and walking from time to time to relieve my pain temporarily but the discomfort didn’t fully go away. And to my surprise, it was easier on my body to walk but sitting down or laying down on my bed caused the discomfort again. I was so worried for the past few days that it might be something serious and contemplated hard whether or not I should visit the doctor.
Currently, I am believing and hoping it is a muscle issue.
Oh thanks for sharing. It sounds like your body is healing up but you should watch out for red flags: th-cam.com/users/shorts9e6MJzqiQcc If you noticed really weird symptoms then you should have it checked out. Also, consult your parents as well. A quick visit to the urgent care or Primary care doctor can ease your mind as well
@@TheResilientSpine Will do doc, thank you so much for reaching out and helping me. God bless you
I thought I had healed what felt like a strain, then 4 weeks later deadlifted again with my friends and man, lower right is so tight and it’s awful😅 but this made me feel better absolutely about my issue
Okay good! Way to get back after it. Thanks for watching!
This is good information. Sustained an injury 4 years ago while exercising that only affects my right side and has led to on-going SOB and GI issues (which have improved.) A slew of tests over 3 years telling me everything is normal although I've had high markers for inflammation. I stay active but have been reduced to walking over last 4 years - hard cardio days are gone. I continue with stretching and weights which only seem to aggravate lower back which eventually leads to shoulder pain and on occasion right hip and calf pain. More concerned now about right side pressure build-up I have in my neck and right ear particularly first thing in the morning with sinus congestion. In your opinion can a bad spot in the spine lead to such complications or could a deep, unhealed muscle injury be the culprit?
How interesting and thanks for sharing. The back, hip and leg pain tend to respond well to sciatica type treatments including nerve glides. The other symptoms are interesting and are most likely unrelated to back pain. The lower grade inflammation may indicate a microbiome assessment with a functional med provider
Sounds like mine is muscle. I’m finally getting better after 3-4 days. Still have pain and discomfort while I walk or stand but I’m improving. When I lay down pain mostly or all of it goes away. I had horrible spasms for the first two days but it got better and I now have no spasms.
Okay there you go! The body is a wonderful thing. The spasms are the WORST!
Thank you for this video, Very helpful. One or 3 vertebras on my lower back is bulging a bit out and it hurts when I press on it. I have this 2 years now. The pain feels stiff, is constant and wraps my lower back area. I had an x ray which showed basically nothing and they just let me go with no treatment. Should I be worried?
I wouldn't be worried. X-rays often show a lot but it doesn't mean a lot. Stiffness can be addressed with mobility work and simple exercises.
Thank you so much! @@TheResilientSpine
Do you have any videos on upper back/neck pain issues?
Hi! Check this one out! th-cam.com/video/y8Z9RglAbfQ/w-d-xo.html
Hey doc, good info. I hurt my back in early Feb of this year lifting a heavy wrought iron table. I never had back problems before. I've been getting this stinging pain in my lower back since then. No radiation, numbness or tingling. Most of the time my back feels totally normally and I think it's slowly getting better. Should I be concerned about a slipped disc since it's been going on several months? Or can this just be a strain?
Hey! thanks for the question! If I were you, I wouldn't worry about a thing! Just stretch and keep moving.
How about the upper back left shoulder blades and between shoulder blade hurt when i tighten or put pressure on it?
HI there! Could be trigger points but also a common area of referred pain from the neck. A good PT could help you figure it out quickly. If it's really tender I would work on it with deep pressure.
Hello sir, i have a question please my back left and side hurts when i sit down or lay down but when im walking or standing the pain goes i have been to doctors he gave me painkillers etc its an aching pain from lower back and sides also i can feel it upper left snd right back sometimes any suggestions on what it could be ?
Great question. For a better answer I would have a physio look at it. If that's not an option then I would explode mobility and stretching for the back and hips
I just found out I have a disc bulge/protrusion in lower spine after getting an mri for something unrelated lol. But I never had pain for over a year but recently after doing construction and leaning over all day my back is in pain anytime I bend over I can barely hold anything. Is it possible my pain could be from muscle even tho I have a bulge in the disc already?
@@danger 100% yes!! If you are over 30 there’s a 50% chance of having disc bulges without pain! It’s just a part of life. It’s more likely muscle and should respond well to strengthening and mobility exercises.
Question i had a xray done and it said it was a lower back strain but i had pain on my ankle. Does a strain feel pain down ankle or is it a disc? Also the L5 s1 was showing xray strain
Good question! I am assuming they started at the same time. Your back and ankle discomfort. If so, you can test to see if they are related with the nerve glides you see in this video. They can be related and simple clinical test can help you figure that out! th-cam.com/video/37rngW62L9w/w-d-xo.html
I suddenly started feeling severe lower back pain when trying to stand completely straight. The pain worsens the more I bend backward, improving from slouching forward. The pain is also much worse when lifting or standing from sitting. I feel almost zero back pain when sitting or laying down. The pain is very sharp and concentrated on my lower spine between my pelvic bones. I know rest is important however I also know not enough activity also weakens the supporting muscles.
What do you think is causing my lower back pain? Does this sound more like muscle/tendon/ligament strain or disc related?
What can I do to help it heal? What stretches or exercises help the most?
hi! hard to say since there can be many causes but it doesn't seem nerve so best bet is to stay moving and try some mobility work including back stretches and walking! Try some of these: th-cam.com/video/NcFFY7fSkBg/w-d-xo.html
Hi, Doc! Curious: Do any of your patients play sports (like tennis or basketball) with a symptomatic disc herniation? But when playing the sport, the sport (like tennis or basketball) doesn’t worsen pain? Or is that unlikely?
No that can happen! Angry nerves can do really well with movement. Playing sports really loosens things up. It can leave someone sore so some good stretching is recommend afterwords.
I get nerve pain in my legs and pain it the center of low back which is not sharp it's dull and only happen if i create an arch or lean forward
Yep, can absolutely happen. check out this video and see how it impacts your ability to bend over! th-cam.com/video/37rngW62L9w/w-d-xo.html Let me know what you think!
Hey what did you end up having. This is what I’m going through
Hey doc i just have a doubt i have pain in both sides of my lower back, whenever i wake up from lying down it just feels awfull down there.And some times during sleeping im feeling the pain on my lower back and also when bending forward to pick heavy things. Can u please help me figure out the reason for the pain
There are many structures that can cause pain in the lower back. When bending over a lot of things move to allow this to happen. I would say staying consistent with mobility work will help you feel better and move better. Check this out: th-cam.com/video/l9hf0rUsm5U/w-d-xo.html
@@TheResilientSpine thank u doc.
I am a 23 year old and I have been having back pain since 3 years now, I have showen it to several spine specialist as well, the pain is a coin shaped pain on lower lower back concentrated at a point at top of lumbar region, It only occure if I walk or stand for more than 45 mins, I have tried physical therapy but it doesnt seem to get better. I have no restrictions on my range of motion but do get a little minute discomfort when bending forward, any pointers on this?
Pain started after deadlifting on numberous occassions..
Interesting! That's an interesting spot and it takes a lot for you to feel it! Have you done any research into TL junction syndrome?
@TheResilientSpine No I haven't let me do that, thanks!
I actually have pain when i lie down.. so it my muscle or disc ? Other wise i have no pain
Interesting. In my experience if you have pain when you lie down try bending your knees and having your feet flat. If that helps, then it's often not disc. If you have pain into your glute or down your leg when you bring your knees to your chest, it can be related to the disc/nerve. Hope this helps!
can back muscle spasm type pain last for a year?
You can have somatic or achy, tight, and dull pain for a long time but spasms don’t like that long.
I am 17 I went to reach a water bottle on the floor and threw my back.. it hurt like hell in the first 2 days, the following week it was better didn’t hurt when I walk, stand up, sit etc but because I ignored and went to gym play football and do whatever the starting of the second week the pain is back just like the first day or even worse.. I was taking anti inflammatories and medications but still after 3.5 weeks from the first day of pain the pain is still there.. some days the pain is very mild and the other very bad such that I just wanna stay in bed.. I am even more scared of when it will heal because the physiotherapy also isn’t helping and I am starting my college in less than 2 months
Thanks for commenting! Seems very muscular and it can take a few weeks for normal tissue healing. Listen to your body and walking is a great medicine! Tell your physio and let them know! there are other things to check as well to make sure it's muscular. Don't get too frustrate and trust your body.
But doctor.. it's been almost 4 weeks still I need to be very careful in everything I do.. I am very scared if this is happening at a young age I will be bed ridden at the age of 40.. and still there's very little to no improvement.. I am thinking to change my physio.. today my physio told the muscle spasm is gone but I still have very much pain while doing certain movements.. and she said it is probably because ur spine is weak or ur muscles are weak but the mri tells spine has no problem.. I am very scared of how much more time it will take to heal completely
@@nishvan8701 Sorry to hear this. You need a member of your team to empower you and help you move forward. If your gut is telling your to find someone else, then do so. It's your right.
I feel pain on my right side middle/lower back when I get up and bend over, but feel perfectly fine when I lay down. So that’s just
My muscle ?
Yes, sounds a lot like muscle to me! Could also be some stiffness in the joints but they are treated pretty much the same way
@@TheResilientSpine could it be spine related? When I press my chin against my chest, I feel an increase of discomfort/pain.
@@gaborojo1423 it could be. When patients tell me that I look to see if they are arching her back at the same time. If not, it could be some neural stiffness. Doing things such as cat camels can help.
Thank you! I’m 98% certain it’s muscular after watching this … physio booked tomorrow 😅
Wow! That's amazing! Thank you for sharing and this made my day. You would be disappointed. Go in willing to listen and help them learn your body. :) Thank you for watching!
Is lying down bad? Mine is coming from muscle it seems.
Lying down isn't bad but I do prefer to be on your back with a thinner pillow and maybe a pillow under your knees of the back feels sticky. Muscle pain responds well to mobility work and strengthening.
@@TheResilientSpine thank you. Meds gave me the ability to walk with bearable pain. Would walking around count as exercise at this point? I'm too scared to rush into back exercises...
@@saphone9758 Yes, absolutely. Start with what you are comfortable with and work up from there. For example; week 1 5 min walk 5 days a week then week two 10 min walk 5 days a week and etc. Then once you feel ready, a gentle strengthening program is necessary. I am actually putting out some core strengthening handouts soon for free! Make sure to opt in on my blog and it will be sent out to you this month!
Can it be both?
It can be in that you can have an old bulging disc but have a recent muscle strain. And, if something big happens you can bulge a disc and strain your back at the same time. Often times, only one is really causing the pain you are feeling at that moment.
Hi doctor…. I Injured my lower back at work while lifting heavy object ( with bad posture ) . I am working as a steel fixer for 4 years. I went to doc and psychiatrist, and i did xray, it shows my mild disc narrowing at l5-s1. So psychiatrist said it may be disc bulge. I am also doing some light stretching/ exercise…..Its been 6 weeks now, and pain is a bit down. It stills hurts while bending, ..but i dont feel much pain when i bend down with a good posture …and my pain dont go from lower back to leg. It just stays on lower back, sometimes buttock.. i am not sure if its disc bulge or muscle strain .
Great observations. in my experience with patients that sound like you, the pain is not often related to a bulge. Do you want to regain mobility with specific mobility exercises for your spine. A good Physio can tell you what to do. disc narrowing and disc bulges can start in your late 20s. It’s hard to say if those are truly causing the discomfort. In the end it’s about treating the symptoms.