Phenomenal video. I learned a lot to help myself with this chronic problem I have almost exactly what she has. Only problem is I have no one to work on me professionally or personally, so it's all on my own regarding home-based remedies. I will keep studying your video based advice.
Great video. I was just diagnose of having L4-L5 diffuse disc bulge, L5-S1 posterior central disc bulge. I was recommended to do PT but was not really doing well with my therapist so I just do yoga for lower back pain. I feel hopeless but this video gives me an insight how to lessen the pain in my left ankle. My Doctor doesn’t recommend me to do chiropractic, only a routine stretching.
Hi!! these are standard standards for painful herniated discs. I don't have pain anymore and my L5 DISC has actually burst, it is now very thin. I do these exercises and others at home every day :I don't have pain now, thee are great and standard exercises. However, on the internet I never find video about exercises that will help you improve your lower back strength: something specific for people who have bulging or broken discs. As far as I know one has to improve the muscles to protect those vertebrae that don't have anymore a functioning disc. The exercises you are showing here are good in the first phase (feeling less pain), I WOULD LOVE TO SEE SOME strength exercises specific for lumbar herniated discs. Thank you!
Hi Daniel - thats easy, we have done a full 24 week program for people just like you. Head to this link: www.physiorehab.com/rehab-programs-lumbar-spine-disc-injury-rehab to see the program. Here you can check out the preview weeks for how the videos and exericses are laid out, along with the preview videos to see how the program and exercises progress. Tim
I did a few of these exercises in the past (since I was doing lots of core exercises and pilates) in spite of that I still destroyed a disc... probably I ALREADY HAD A BULGED DISC , I WAS NOT AWARE OF IT AND I engaged in other more dangerous exercises : I have always struggle with any exercises involving bending forward for example. I will need someone to guide me back into doing them correctly and step by step...I am really scared of attempting doing any exercise by myself. Anyway, great video, thank you very much, it looks great.
Physio Fitness | Physio REHAB | Tim Keeley, I need more of these my rupture is in l5s1 and to left like her. I'm unable to move stand sit or walk my pain is down leg to my toes it's numb all the time. I also have severe pain in my back. Can you link the entire series in your playlist please? I need help this has been 2.5 yrs and I need my life back
All what is described she has is exactly to a tee what I'm experiencing even the same leg. Will keep trying these exercises and if there is another video on home exercises as well please send a link. 🙏 Am curious though, stupid question how the bulging would work if you have spinal bifida occulta L5. Isn't it a space there?
The spina bifida that space is from the lack of bone not a space between the disc and the nerves. I suggest you have a look at my lumbar spine disc rehab program at Physiorehab.com
The question of the protrusion is located on the right side, in which direction it is better to stretch towards the protrusion or the opposite, opening or closing the intervertebral spaces on the side of the protrusion, it is known that it depends on the symptoms, but generally what does the rule say because it always bothers me ?
@@physiorehab Ok, and if we have such a situation, the bulge is on our right side and if we want to do, let's say, a small stretch with mobilization on the side, on which side do we place the patient? On the same what is the bulge right or opposite to open the intervertebral spaces ?
The symptoms you explained first in the video is exactly what I've been struggling with. I was "diagnosed" by a chiropractor, he told me it was piriformis syndrome. Which has led me to mostly doing deep tissue massage(no stretches has been helping). I'm gonna give these rotational exercises a go. However, I do not get any pain from bending over, like she does, I get it when leaning backwards - what difference does that make? Also, when I do the Mackenzie I get a sharp pain in my lower left buttocks. Great video!
+Rune Posselt The patient in the video receives pain from bending over because of her pathology: a postero-lateral disc bulg that is in impinging on the nerve roots. Mckenzie has 2 schools of thought: flexion preference and extension preference. He demonstrated extension preference here that is common in treating disc pathologies as he explained. If he have pain going into extension (backwards) then it is more likely something like foramenal compression that is impinging on the nerve roots and Mckenzie flexion exercises would be beneficial. That said, take this with a grain of salt as I haven't seen everything else you present with :)
I understand the rationale for flossing but is it safe to bring hip into flexion this much? Would this not increase lumbar flexion and lead to increased hernia? I really liked the traction technique and think it'd be good to use with McKenzie's techniques but unsure about flossing in this particular case! All the best
I see why you did the McKenzie extension, left side bending. But left rotation ?? Why ?? Mechanically and anatomically I'd say do a right rotation. And the patient reported relive with left rotation !! Any explanation?
left rotation 'closes' the disc down on the left sided where the bulge is. This is following McKenzie principles on disc material movement and basic physics.
I have exactly the same problem . Not had physiotherapy yet. Sick of waiting for NHS appointment(3 months). Do you think an invertion table will help .. i have l4l5 disc bulge pressing on l5 bialateral nerve.
Lee Pyatt that may help temporarily but you may find rehab is a better solution. Have you seen my rehab program online? www.physiorehab.com/rehab-programs-lumbar-spine-disc-injury-rehab
So if rotation of the disc, re-centralizes it, what was the cause of the opposite rotation to disc in the first place? Isn’t that what you should be treating?
@@physiorehab Thanks for replying! The treatment looks very cool but what caused the rotation in the first place? How do you treat that? Remedial exercise is conscious and new movement patterns must be repeated thousands of times to create permanent neuroplastic changes. What about eyes, feet and crawling patterns or retained primitive reflexes that limit conscious effort of remedial exercises? I think we rely too much on actual physical treatment.
I was told to do the bird dog exercise. Should you wait until your completely pain free before doing it? I can't really bend forward to well right now so when should you start with strengthening
T T I would perhaps dial it back to an arm raise and a leg slide as separate exercises. I have a great online programs for all the core progressions at physiorehab.com. Check that out and we can also Do a online video physio consult to get you through
Physio Fitness | Physio REHAB | Tim Keeley I hurt my back 2 years ago doing a deadlift type movement. If my back was too arched when doing this could my disc be bulged forwards?
@S_3-For Christ 777 I would work through my rehab program to get stronger around the spine and core - www.physiorehab.com/rehab-programs-lumbar-spine-disc-injury-rehab
Doctor I started having tingling sensation in my foot which developed to severe thigh pain. Mri finding showed mild stenosis in neck and disc bulge at l3 l4. Doing physio exercises for that. But main concern is erectile dysfunction, which my doctor is not accepting I'm 27 yr old(no anxiety or stress). Can i still recover by physiotherapy or need surgery. Is this reversible
So I have symptoms bilaterally. Is that a central bulge or multilevel bulge? I tried traction from hanging and rotations but that seems to aggravate. I assume just stay w/the extension?
I can’t comment on the types of bulge without assessment or MRI. However staying centrally and then adding rotation may help. All the exercises and programming for rehab is here: www.physiorehab.com/rehab-programs-lumbar-spine-disc-injury-rehab
Sir please reply me I don't have disc herniation or disc bulge but my lumber discs are lightly pinching the nerves can I become completely like before please reply me.
he probably meant loaded and/or fast twisting actions. The lumbar spine by itself does not allow a huge amount of rotation. However if the person has proper spinal segmentation in the whole spine it should be a big problem to get into this position (slow and no significant torque), the movement and forces will dissipate nicely along the involved structures. In this case he probably just wants to help centralize the disk material and the pain. You can see how careful he was as he helped her get into position. Off course, I don't know your exact condition.
Dang!....this guy knows his stuff!....the best I’ve seen on TH-cam.
robert simpson too kind!
He seems really good. Too bad in in Canada
Amazing, it all makes sense now.
Phenomenal video. I learned a lot to help myself with this chronic problem I have almost exactly what she has. Only problem is I have no one to work on me professionally or personally, so it's all on my own regarding home-based remedies. I will keep studying your video based advice.
Clara Bartha try the band self traction or the yoga block traction and see if that helps you
I'm on the same boat as you. Very difficult.
Tim, your vdos saved me a lot of confusion and pain years back! Keep up the great work brother!
I have every symptom you just explained. No one has explained it as well as you do to this day to me. I wish you were in my area!
Thanks - hope you do well and it’s gets better
This video was right on point in doing the right exercises for this problem
👍🙏
From November 2016 I'm suffering from Very bad lower back pain Scitica pl help me , waking difficulty, problems with L5 & S1, slip disk etc...
Fantastic !!!
😄
Very well explained. Thanks
Thank you glad you like it
Awesome content, thanks.
😀
Great video. I was just diagnose of having L4-L5 diffuse disc bulge, L5-S1 posterior central disc bulge. I was recommended to do PT but was not really doing well with my therapist so I just do yoga for lower back pain. I feel hopeless but this video gives me an insight how to lessen the pain in my left ankle. My Doctor doesn’t recommend me to do chiropractic, only a routine stretching.
You will need more than stretching for disc bulges... have a look at the rehab program we have at physiorehab.com
Suffering from same condition
How are you now ?
Thanks
Amazing! Thank you so much 🙏😍
Excellent detail video, thank you so much
You’re welcome 😄
Thank you for this thorough information!
No problem!
Describes my problem best
This was great❤
👍
So I have the opposite side, so I can just do the reverse, is that correct. Thanks for info and video. Have subscribed.
This all done by expert hand.
Hi!! these are standard standards for painful herniated discs. I don't have pain anymore and my L5 DISC has actually burst, it is now very thin. I do these exercises and others at home every day :I don't have pain now, thee are great and standard exercises. However, on the internet I never find video about exercises that will help you improve your lower back strength: something specific for people who have bulging or broken discs. As far as I know one has to improve the muscles to protect those vertebrae that don't have anymore a functioning disc. The exercises you are showing here are good in the first phase (feeling less pain), I WOULD LOVE TO SEE SOME strength exercises specific for lumbar herniated discs. Thank you!
Hi Daniel - thats easy, we have done a full 24 week program for people just like you. Head to this link: www.physiorehab.com/rehab-programs-lumbar-spine-disc-injury-rehab
to see the program. Here you can check out the preview weeks for how the videos and exericses are laid out, along with the preview videos to see how the program and exercises progress. Tim
Great stuff! thank you
I did a few of these exercises in the past (since I was doing lots of core exercises and pilates) in spite of that I still destroyed a disc... probably I ALREADY HAD A BULGED DISC , I WAS NOT AWARE OF IT AND I engaged in other more dangerous exercises : I have always struggle with any exercises involving bending forward for example. I will need someone to guide me back into doing them correctly and step by step...I am really scared of attempting doing any exercise by myself. Anyway, great video, thank you very much, it looks great.
Physio Fitness | Physio REHAB | Tim Keeley, I need more of these my rupture is in l5s1 and to left like her. I'm unable to move stand sit or walk my pain is down leg to my toes it's numb all the time. I also have severe pain in my back. Can you link the entire series in your playlist please? I need help this has been 2.5 yrs and I need my life back
Read Stuart McGill’s books and TH-cam videos.
All what is described she has is exactly to a tee what I'm experiencing even the same leg. Will keep trying these exercises and if there is another video on home exercises as well please send a link. 🙏 Am curious though, stupid question how the bulging would work if you have spinal bifida occulta L5. Isn't it a space there?
The spina bifida that space is from the lack of bone not a space between the disc and the nerves. I suggest you have a look at my lumbar spine disc rehab program at Physiorehab.com
Visit Doctor Ani John herbal home on TH-cam channel he cured mine permanently within 12days with his natural herbal remedies 🌿.
The question of the protrusion is located on the right side, in which direction it is better to stretch towards the protrusion or the opposite, opening or closing the intervertebral spaces on the side of the protrusion, it is known that it depends on the symptoms, but generally what does the rule say because it always bothers me ?
Usually go towards the painful or protrusion side
@@physiorehab Ok, and if we have such a situation, the bulge is on our right side and if we want to do, let's say, a small stretch with mobilization on the side, on which side do we place the patient? On the same what is the bulge right or opposite to open the intervertebral spaces ?
Great video, but where is the next instalment?
The symptoms you explained first in the video is exactly what I've been struggling with. I was "diagnosed" by a chiropractor, he told me it was piriformis syndrome. Which has led me to mostly doing deep tissue massage(no stretches has been helping). I'm gonna give these rotational exercises a go. However, I do not get any pain from bending over, like she does, I get it when leaning backwards - what difference does that make? Also, when I do the Mackenzie I get a sharp pain in my lower left buttocks.
Great video!
+Rune Posselt The patient in the video receives pain from bending over because of her pathology: a postero-lateral disc bulg that is in impinging on the nerve roots. Mckenzie has 2 schools of thought: flexion preference and extension preference. He demonstrated extension preference here that is common in treating disc pathologies as he explained. If he have pain going into extension (backwards) then it is more likely something like foramenal compression that is impinging on the nerve roots and Mckenzie flexion exercises would be beneficial. That said, take this with a grain of salt as I haven't seen everything else you present with :)
I understand the rationale for flossing but is it safe to bring hip into flexion this much? Would this not increase lumbar flexion and lead to increased hernia? I really liked the traction technique and think it'd be good to use with McKenzie's techniques but unsure about flossing in this particular case! All the best
Only move into flexion of the hip that you can keep neutral spine. Some people have more hip ROM than others
I see what you mean now, thank you!@@physiorehab
I’m 21 with chronic back pain for 2 years
Anteater23 keep trying different things man it will get better trust me.
Where are you pressing when you're doing the P-A glide treatment?
Is it the spinous process?
Or is it around the facet joint?
Thank you.
from Japan.
Hello i got disc bulge with l45 and pain going down both legs
Tried everything but pain is keep coming
Help me please
Have a look at all the exercises in my rehab program: www.physiorehab.com/rehab-programs-lumbar-spine-disc-injury-rehab
5:00 So twist you legs and waist *TOWARDS* the pain/sight of injury? Not away?
How many times a day, and the duration?
Normally yes, you move towards the painful side. 1min x 3 sets, and 3-4 times per day in the acute phase
@@physiorehab Thank you for the reply! ✌
I see why you did the McKenzie extension, left side bending.
But left rotation ?? Why ?? Mechanically and anatomically I'd say do a right rotation.
And the patient reported relive with left rotation !! Any explanation?
left rotation 'closes' the disc down on the left sided where the bulge is. This is following McKenzie principles on disc material movement and basic physics.
usual practice so how long can it heal? and what is the problem is whether in the right leg? thank
Do we need to do exercis for bulghing disc every day?
Is it true?
x men it all depends on the person. Initially yes, but over time, less and leas
Team, what else can I add to sciatica hip pain? Thanks for your reply.
I thought maitland was contraindicated with peripheral monopathy ?
I have exactly the same problem . Not had physiotherapy yet. Sick of waiting for NHS appointment(3 months). Do you think an invertion table will help .. i have l4l5 disc bulge pressing on l5 bialateral nerve.
Lee Pyatt that may help temporarily but you may find rehab is a better solution. Have you seen my rehab program online? www.physiorehab.com/rehab-programs-lumbar-spine-disc-injury-rehab
So if rotation of the disc, re-centralizes it, what was the cause of the opposite rotation to disc in the first place? Isn’t that what you should be treating?
Do you mean address it rather than treating?
@@physiorehab Thanks for replying! The treatment looks very cool but what caused the rotation in the first place? How do you treat that? Remedial exercise is conscious and new movement patterns must be repeated thousands of times to create permanent neuroplastic changes. What about eyes, feet and crawling patterns or retained primitive reflexes that limit conscious effort of remedial exercises? I think we rely too much on actual physical treatment.
❤❤
what is the name or brand of the lumbar distraction belt you are using?
Mobilization belt
what if the patient have circumferential disc bulge, what rotation is most appropriate(7:00)?
Both sides
I was told to do the bird dog exercise. Should you wait until your completely pain free before doing it? I can't really bend forward to well right now so when should you start with strengthening
T T I would perhaps dial it back to an arm raise and a leg slide as separate exercises. I have a great online programs for all the core progressions at physiorehab.com. Check that out and we can also Do a online video physio consult to get you through
Can a disc bulge forwards (towards belly). If yes how do I know this is what I have?
Anteater23 very rare. Usually from trauma not normal age related or flexion type problems.
Physio Fitness | Physio REHAB | Tim Keeley I hurt my back 2 years ago doing a deadlift type movement. If my back was too arched when doing this could my disc be bulged forwards?
@S_3-For Christ 777 I would work through my rehab program to get stronger around the spine and core - www.physiorehab.com/rehab-programs-lumbar-spine-disc-injury-rehab
Doctor I started having tingling sensation in my foot which developed to severe thigh pain. Mri finding showed mild stenosis in neck and disc bulge at l3 l4. Doing physio exercises for that. But main concern is erectile dysfunction, which my doctor is not accepting I'm 27 yr old(no anxiety or stress). Can i still recover by physiotherapy or need surgery. Is this reversible
So I have symptoms bilaterally. Is that a central bulge or multilevel bulge? I tried traction from hanging and rotations but that seems to aggravate. I assume just stay w/the extension?
I can’t comment on the types of bulge without assessment or MRI. However staying centrally and then adding rotation may help. All the exercises and programming for rehab is here: www.physiorehab.com/rehab-programs-lumbar-spine-disc-injury-rehab
Sir please reply me I don't have disc herniation or disc bulge but my lumber discs are lightly pinching the nerves can I become completely like before please reply me.
Did you have a MRI to confirm that?
Yes sir
@@sathyanayaksk1330 ok, not sure how you are getting discs pinching nerves without disc bulges? Perhaps send me the report to support@physiorehab.com
Ok I will send the reports
Sir where is sending option
YASSSS
I was warned by an orthopod NEVER to twist the spine like this.
Did he/ she say any why?
Carlos Yuen It causes spinal damage.
same here
he probably meant loaded and/or fast twisting actions. The lumbar spine by itself does not allow a huge amount of rotation. However if the person has proper spinal segmentation in the whole spine it should be a big problem to get into this position (slow and no significant torque), the movement and forces will dissipate nicely along the involved structures. In this case he probably just wants to help centralize the disk material and the pain. You can see how careful he was as he helped her get into position. Off course, I don't know your exact condition.
I'm on here because my crap physio gave me disc bulges. Huh!
Great video, but where is the next instalment?