Fixing Back Pain From Disc Bulge (Real Patient Story)
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- เผยแพร่เมื่อ 26 มิ.ย. 2024
- She had low back pain for years! This is her rehab story!
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In this video, I share the low back pain rehabilitation story of a patient of mine. Remember, there is no "one size fits all" method to fixing back pain. You MUST evaluate and then create an individualized treatment plan that addresses the person, not just their MRI.
Supporting literature:
McGill, SM. Back Mechanic: The step by step McGill Method to fix back pain. Backfitpro Inc. 2015
Sahrmann S, Azevedo DC & Van Dillen L. Diagnosis and treatment of movement system impairment syndromes. Braz J Phys Ther. 2017; 21(6):391-399
Van Dillen LR, Sahrmann SA, Norton BJ, Caldwell CA, McDonnell MK, Bloom NJ. Movement system impairment-based categories for low back pain: stage 1 validation. J Orthop Sports Phys Ther. 2003;33(3):126-42
McGill SM. Low Back Disorders: Eevidence Based Prevention and Rehabilitation(2nd ed). Champaign, IL: Human Kinetics Publishers, 2007.
McGill SM. Core training: evidence translating to better performance and injury prevention. Strength and Conditioning Journal. 2010; 32(3): 33-46
McGill SM, Cholewicki J. Biomechanical basis for stability: an explanation to enhance clinical utility. JOSPT. 2001;31(2):96-100
Lee BC, McGill SM. Effect of long-term isometric training on core/torso stiffness. JSCR. 215;29(6):1515-1526
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Music credits
Opening & closing track by JookTheFirst: / jookthefirst - กีฬา
This channel is way more informative and helpful compared to those click-baity chiropractor "back cracking" channels that offer really nothing of substance. Thanks Doc. 🙌🏽
Chiropractors are lifesavers. Don't discount their value
@@mountfairweather what do they do ? nothing besides message you ? and crack you. compared to him which him he actually helps
@@BigDees19 they helped me with a bulging disk. Not to mention they have literally saved ppl from a life of pain and anguish.
@@BigDees19 The purpose of a chiropractor is to help you realign your joints and muscles. The purpose of this video is to teach proper exercising form, which can in turn prevent you needing to go to a chiropractor.
Chiropractors are quacks. It is a total pseudoscience based on magnets healing your joints and some made up stuff. Go to an actual physical therapist like the squat university guy. He is an actual medical professional, not a member of some bizarre wizard cult of people who crack your joints.
Wonderful deadlift form
If you’ve ever had chronic pain you’ve no idea how draining and hard it is
If I've ever had pain I dont know how draining it is?..
yessss its awful
@@swansong5960 he meant to say “never” bro forgot the N in the Word.
It's the absolute worst
This guy is so impressive, so many people would kill to work with him to get rid of their pain.
It's been 2 months after my disc bulge. I'm back at the gym and doing my core and strengthening exercises.
But God I wish I had watched this video on the first week while I was in my bed when I had lost all hopes.
So good to see how much progress you made in this. Great work both of you!!
Same
2 and a half years ago I injured myself while squatting, it still hurts in the lumbar-area and I am getting insane, no professional was able to help me :( I can"t do squats like I used to, and I can't go as deep
@@enable30 Sorry to hear that. That's exactly what caused mine also. Weighted squats. But pls don't lose hope. Get the medical help you require without delaying. Correct medication and physiotherapy will get you back on the track. If you have exhausted all other options ask your physician if surgery is the only way. Hope you get better soon. Prayers.
@@alter-ego- thank you man, i did try physiotherapy as well but it didn't work and I don't even know how many times I cried hysterically brcause thr gym is so important.to me you know.. makes me think the world doesn't want me to work out lol...im so angry
@@enable30 I feel you brother. Listen, i don't know if this will help, but this is a playlist of videos i made while recovering. I found some videos very insightful. Maybe it might help you too. th-cam.com/play/PLOeduf8KCGmIhNnweOu5jgrqrxoqMguzg.html
Thanks Dr. Horschig! Best video out there on the tube! I am a 71 year old powerlifter who started powerlifting 22 months ago after it took two years to get fully well from 2 massive widow maker heart attacks. In March of this year I fell on the ice on my sidewalk and felt a pain in my lower back. Went to the gym anyways and did my squats and when I did 400 my back popped and just a little sharp pain. So then I did deadlifts pain free until I tried 385 and when the bar reached just below my knees, my l4 and l5 really bulged out, I dropped the bar and fell to the floor. Went to a back doctor, rehab, did all the exercises including the stupid cobra pushups, had an epidural, and taken lots of Extra Strength Tylenol.
After watching your video I realized I had been doing the Birddog wrong. After doing 5 reps each side I stood up and braced and could do a full squat then bend over stiff legged and touch the floor. After seeing how to do the exercises properly I now fell like I can go to the USAPL Raw Nationals and break 2-3 National records! I have until September 17th. Up until I watched this video I thought I would never lift again or my back could be pain free. Not pain free yet but hopefully in a few weeks.
Thanks again Doctor. I know a lot of your viewers will think I am not telling the truth on the weights I lift, so here is a link from last years meet in August.
usapl.liftingdatabase.com/lifters-view?id=135035
Spectacular mate. Best wishes for your recovery from the heart attacks. Blessings to you for everything you are trying to achieve right now. Take care brother 😊
This is by far the best and most detailed physiotherapist I have ever seen in TH-cam. He really makes wonders with his patients. I wish I could get help and guidance from someone like him. He is in a complete different level.
As a physical therapist student in the Netherlands I would like the thank you for this video! Its awesome to see you work and im learing alot from it!
You’re a miracle worker. She can clearly lift waaaay more than 200lb thanks to your help.
This channel is helping me work thru pain that started after a 7 yr no stop bodybuilding/powerlifting lifestyle that got stopped in 2020 because of the pandemic and after the loss of routine I started developing joint pain all over
I had a herniated and a bulging disc, thought I almost recovered 3 months later but then collapsed again. Ive read Stuart McGills 'back mechanic' which is a great book for spine health but still videos like this are so helpfull. It's those little things like being aware of micro movements and the correct form of the Big 3 that can make all the difference.
Did your pain ever go away?
I love this video man. I have a week left of my ther ex class before I head to clinicals. You are an inspiration to me and you demonstrate the perfect example of the power of a skilled practitioner.
Wow he literally releases everything!!! This channel is truely valuable and generous!!! Appreciate that!!!
A Saviour ! Dear Doc, you are a just awesome ! No words to thank you enough. Love you & God bless you. 💞💞
It’s crazy how informative and helpful these videos are
Yes, these bracing the core and proper alignment with controlled mobility techniques are powerful. At 66 with collapsed lumbar and hip replacement I'm doing all of them! Thx Aaron! (ps; I'm also a lic p.t. - always learning)
Been a couple of months. Have u kept up with it? How do u feel?
Im 27 with a slipped disk
Absolutley admire his level of knowledge and even more so his ability to relay the technical info in a comprehensive way. Def got me to stay through the whole video even though I've got no issue with my bank. 10/10 💪😎🔥💯
Thank you so much for taking the time to make this video. This is very informative.
What a success! Thank you both for sharing the journey.
Thanks so much brother been dealing with this pain for a year now and this is probably the best information and exercises I've come across, much love
Where were you guys 14 years ago when i got diagnosed with my lumbar and cervical disc problems?! Thank you for all the insights! I made a lot of improvements in the last 2 years, if things go wrong i’ll know who to get in touch with! ♥️ gratitude
This is gold. Thank you so much for your superb work.
I know this channel gets a lot of comments but thank god for the wealth of information people share freely online. I have a hx of disc herniation and any time I start having issues I can revisit videos like this to help pinpoint my weak spots and reduce my symptoms. So thank you, honestly
I’ve been dealing with this EXACT same thing for the past 2-3 years on and off. Every symptom. Can’t wait to follow this and see how this will help.
And how is it going?
Update?
Update?
Man?
Bro? ._.
Im so happy your pain free !! You look amazing!! 😀
I feel like crying. I am so proud of her.
wow thank you, so much info!!! actually showing the work with the client, this is amazing.
This is amazing honestly the most useful TH-cam channel/Instagram page out the excitement I get from watching these videos is awesome!!! 💯💯💯great information that’s practical and life changing
Beyond grateful for this information 💙
Awesome letting us watch in a treatment session, so valuable. Thanks for the info!
I adore this platform of knowledge and all great explanations of exercises and movements.
Humble request if you could do a video for PIRIFORMIS pain along with tight TFL prevention. Thanks in advance🙏🏽
This person just save this persons life.
Thank you doc
So hard to start back to scratch with these drills and stuff but encouraging to see good results like this
So inspiring story, gives everyone with low back pain hope for pain free days
this is a great story for recover ! thank you doc!
I have learned so much from this channel. I had no idea how correct form can save you so much pain from exercising
She's so courageous and persistant👏👏👏👏
Thank you so much!i have herniated disc l5 s1 you really helped me with this video!!!!!you are the best
she has pretty much the exact same problem I do...I will definitely be using everything in this video, thanks so much
I feel very happy about your patient. I struggle to lift, tie shuelace, bend over to wash my face (and so on...)for years. Nice to see someone found solution. Good luck!
This video is pure gold.
Thank you so much for sharing this video, you don't know, this knowledge has literally saved my life. I've the exact same problem after a fall I had 18 years ago. To top it I've been lifting weights, it has totally brought me to a stop, every doctor told me to stop lifting. This time I was determined to find a solution to stabilize and then start lifting, this is like the perfect video for me, Thank you. I am from India and seeing you help Mirabai Chanu puts more faith in me, thank you.
I honestly can't tell u how good that video is... I mean , just absolutely great
I love how thorough this was 👌
Happy for her 😊💪🙏
Great stuff! I work as a massage therapist. Its crazy how many clients tell me that doctors told them to quit lifting weights. Quit running. Shit like that.
This is literally what I'm going through right now too. I just don't have the imaging to confirm it's herniated or whatever. I can't imagine deadlifting 200lb. My PR last April was 195lb and that was right before I tore my hip labrum. Hip finally better after 6 months of PT but now my lower back hurts. I can't squat, can't deadlift, I can't even bench press. It's so damn frustrating. Feels like I'll never be the same. But her words were definitely comforting at the end.
Reverse hyper extension machine?
i am going through the same exact thing, how long did it take her to heal to the 200 LBS deadlift PR?
I'm going through this exact issue now. I am so lucky to have a copy of back mechamic by Mcgill. This is basically the video version of the sections I need in the book 😁 thank you sir
Legend! Time to take this seriously, watching your videos constructing a better routine 💪 Great work man! That's after having visited a practitioner that said I was good to lift when I full well knew that's not the case.
This gives me hope. 🥰
This is fantastic content.. 👏
It’s been 3 years since I’ve PRed on deadlift and I’ve tried everything, but I think this might just be the key. I feel like I’ve had the exact same struggles as Courtney. Excited to get started with these tips!
and do you have a solution?
@@silentbrother she died from deadlifting
@@kadijaish u serious????
How did it go?
You broke your spine?
Thank you very much for these videos. It’s really helping me out. Thank you!
This is so awesome thank you for all information and stuff by step instructions
This channels brilliant. Im learning so much. 👍
after trying the load test 1:38, I just deadlifted with no pain. I can feel the burn in my abdominal, but my back pain is completely gone. Great stuff 😁. Subscriber earned
This was the most useful one for me very similar to my pain
Amazing and super happy for her. I wish I was closer because I've been in this injury rut for over three years now and trying to get my MRI approved through my insurance now but not confident I will find someone with this expertise in my area. 😞
As a 21yr.old who got herniated disc in L4 -L5, I think this video is blessing.Thank you so much 🙌🙏
How did you get that shit?
@@imberlan weightlifting with bad posture...
Do u train now un gym ?
@@walidmaistro2585 Yes, but not weightlifting. I do most of the bodyweight workouts.
@@prathmeshmande39 bro I’m 21 too and I have had l4-l5 for half of a year. what did u do to heal it?
this was very comprehensive! thank you!
Thank you for the video.
A suggestion: Time stamps for each exercise would be really nice. :)
One of the VERY few channels that makes me go "can't believe this shit is for free!!!" Everytime i watch it. Thank you guys!
The best TH-cam channel thank you for the help
Wow!!! Thank you so much-greatest insight... makes sense absolutely
Great sharing, So helpful information. Thanks for sharing this.
Absolutely brilliant 🤩 ❤
😭 This video, this Guy, his knowledge. I know it's science but I'm gonna call it wizardry. He's so good at what he does it's almost scary. Slipped my L5 a couple days agom doing deadlifts, everyday has been painful, but he gives me hope. Thank you
I hope you are okay now .😭😭
@@Virtualexist oh definitely, pulled 610x10 yesterday. Good as new. I'm still doing my core exercises daily tho.
@@dodga100 I am so glad to know that. ❤️❤️ I was doing squatts of around 65kgs (body weight 65 as well), and I used to do that earlier as well. But something happened, during workout I was fine but after cooling down, I could not even bend slightly. Fast forward 5 days rest, I am much better but I am scared doing workout might revoke the pain again. 😭😭😭
@@Virtualexist simply strengthen your core, your local core muscles and then the surrounding ones like your rectus abdominis and superficial errectors. You need to strengthen all of it, I promise it makes a huge difference in lift confidence
@@dodga100 Thanks a lot bro. I'll work on it. Any exercises you'd recommend???
This is so inspiring
Damn I got my back hurt 6 months ago I needed this video so much love ❤️
Great video thank you!!
The best channel
I’m new to the channel. This is brilliant.
I'm so happy for her!I! and a bit jealous too, I've also been dealing with back pain for like 6 years now.
How r u now
Fantastic video thanks
Love this.. i find it a bit ‘funny’ how you can visit different types of physicians or what ever they’re called.. and yet nobody come close… but this guy..🤩
Outstanding video! 🖖🏾👍🏾
This gives me hope! I’ve had lower back pain for over 2 years now and barely started going to see a chiropractor. I’m 2 weeks in and I’m frustrated, haven’t been doing legs. I just want to be able to lift again pain free.
Great video 💪 thanks 👍
Good work!
Great 😊 for fixed new back pain this a year !!
Nice teaching, like it much, thanks.
Was told i had to have back surgery when i went to see the doctors! I was fortunate to have friends who had physio background and told me to do pilates and yoga (which has same movements in this video) from there started to workout 3 days of weight training and 3 days of mobility training instead 5 days of weights. I work on my ankle, knees, hips and shoulders mobilty (which again same movements in this video) as well as core and glutes. My back pain has disappeared and my flexibility has increased! Also no more knee pains and sorry hips. Now just figuring out more on bulletproofing my shoulders. I like the gorrila plyo style and the barbell with weights hanging on one side so will incorporate that in my routine
This is the best channel
Thank you so much Aaron ,I Have the same problem..now I’m laying in the bed after I had heavy deadlifts and cannot move normally
Only problem you are in the US wish you could give a seminar here in Europe
I wish I had such physiotherapist for my condition. Had 3 herniated discs in much much worse condition than hers, had to get operated because I couldn't do literally anything without excruciating pain. Will be following these advices post operation for rehab.
Mine were even worse than yours
Thank you sir for all those informations and the tips and explanation of those details...
I hope one day I could meet you and learn alot from you ...
Respect and all love 🖤
I've just been diagnosed with herniated disc .
Hydration and decompression was key for me!
I will be using this method, I will report back with my progress.
thanks for the video
Very informative 👍👍👍👍
Great video 👍
This is extremely helpful! I am dealing with an annual tear in my L5-S1, and a lot of this was really applicable. I also have a hip impingement, and it's been a LONG road to discover what is causing what (hip causing back pain, or back pain causing hip issues), and I'd be curious if you have ever worked with a patient who has a similar case, and what the rehab looks like. I've had back pain off & on for 10+ years now, but in August 2020 I had a flare up that never really went away.
Check out Andrew Lock base 5 exercises for lower back rehab. I think Aaron did a podcast with him once before. I’ve been practicing those with McGill Big 3 twice a day and the results have been really positive (my tight hip associated with my L5-S1 disc problem went away).
@@derek2365 thank you so much! I will absolutely check him out. Really appreciate the reply!
I have also chronic pain and osteochondrosis in L5-S1 with recurring disc herniation. Knees and hips are also quite problematic but due to hip dysplasia which most probably led to the back problems. Maybe you should also get your hips checked.
I have the same problem trying to figure out if it’s back causing hip pain or vice versa. I do get temporary relief if I go for a run. Also starting to find that something effecting water works so now I might be able to finally get an MRI scan
@@vwtransportersandmotorcycl3729 sorry you're going through that! Despite my comment on this video being a year ago (!), I did end up having a hip arthroscopy in April to fix the impingement & to hopefully put off a hip replacement down the line, as well as minimize future cartilage damage (apparently my hip looked like it belonged to someone in their 60s due to cartilage deterioration). Back issues are still present but my hips can move properly now to help load my legs & glutes properly while taking pressure off my spine. One thing I've found to be really helpful is doing Jefferson curls as part of my warm up, both unloaded/bodyweight & lightly weighted (holding a 15 lb dumbbell), as well as a lot of single leg work. Core work is essential and anything to help stabilize the spine while regaining mobility in the hips is my goal. Best of luck to you, and I hope you're able to find some relief!
You are life saver 🙂 ❤️ . I'm back to normal again . . Yooo this is genius 🌹
Hi Aaron, do you often see patients from out of town/across the country? Would you say that a few sessions would still be worth flying out for if only could swing a few days? Thank you for all you do. Really wish someone like you was in Nevada!
Im soo grateful for these videos you are sharing, specially ones about this topic.
I do the M3 only only on days that i lift and immediately get some relief for maybe an hour but realized that the relief doesn’t stay because i dont do them everyday day but even more so because i dont limit flexion in daily life.
Im really excited to apply this every day starting today as well as limiting flexion and even laying down on my stomach every 3 hours as you suggested in a previous video. I feel positive this will make all the difference.
Thanks again!
Update? Any better, currently dealing with a slight disc bulge. On day 1 of McGill big 3
@@michaelsebastian3524 hi, after doing these (especially the bird dog) my back pain is almost gone but its only temporary. I still lift but avoid back squats and deadlifts for now. Even still, a lot of movements flair up/ irritate the area, which is my fault but i dont want to quit lifting. I do these every day before i exercise 3-5x a week as well as use a posture pump. I’m definitely not healed unfortunately but i think many things that i do throughout the day including the gym is working against it. It sucks bc i’m super uncomfortable as im sure you are. I started taking turmeric and advil on days when its really bad. Just trying to keep great posture/ form when exercising and hoping for the best.
I think if you do the milbic 3 1-2x a day and avoid bending over, you use good posture most of the time etc that you can live pain free. If you care to lift weights and live an active lifestyle perhaps its more difficult as we have more opportunities to make mistakes and irritate the area again. Im sure people have way more and even way less success than me.
Ive had this issue before and got through it twice. Once i went to a chiropractor 2x a week but they did electro shock therapy or something, vibrational therapy? (Sorry i have no idea what these things are called especially as its been a decade since, but i stood on this machine and it vibrated intensely)), also i did the posture pump, and many other warm up things immediately before my adjustment. At the time i was lifting weights 6 days a week and doing cardio. After about 3 months i was pain free. Maybe this was just the shelf life of the injury or maybe the chiropractor helped.
The second time i just powered through it. Just being very careful and laying down during down time. Did therapy everyday, once again using the posture pump and after maybe 6 months i got better.
Now ive been having discomfort for maybe 6 months already and i know it came from drinking then stupidly picking up my 275lb buddy. Stupid mistake. With a buldge i think its super important to be bracing our core every-time we pick up anything. Just started practicing kneeling to pick things up instead of bending over. Learning to brace/tighten/stiffen your core is key, i believe to being preventative in the future. Gone are the days that i ever lift something cumbersome that compromises my form. Its not worth it if it means discomfort for months. I just hope i recover from this one bc while in the middle of it it def seems like itll never end.
Sorry to hear u r going through something like this. It sucks.
One thing i will say that i hope will help is - doing functional core strengthening exercises (especially ones that dont involve curling the back and any extreme twisting as they will likely irritate the injury). Mostly kettlebell walk and safe things like that that make u brace your core. Im hoping this helps create a stronger core and in turn better protect my back.
Cheers
@@eigojiyouzu thanks for the reply. Sounds like you have a lot of experience with this issue lol but, like you I’m pretty active ( weightlifting 3x/wk 🏀3x/wk) with one rest day but still shoot around in the backyard on that day to lol. A little update on myself (if you even care) after a couple days of mcgill 3, correcting sitting posture, and standing up every 20 minutes. I felt alot better and got some ROM back. Like an idiot I decided I felt good enough to workout and went back to play basketball and instantly flared it back up. Luckily not as bad as initial injury but definitely came back. I believe with a week or 2 rest (I’m fairly young, 25 and had made a lot of progress in a couple days) I’ll be able to get back in the gym. Definitely sucks going from 6x a week to 0 lol but, this to will pass. Anyways thanks for your time, hope you get over this as well. Plus dont be lifting big as dudes lol
@@michaelsebastian3524 haha, thxs mate, best of luck to you
I was doing cleans the other day & didn't bother bracing since its an explosive moment. Then when I went to set a new front squat PR (200lbs at 135lbs bodyweight), I felt a twinge in my low back so dropped the bar even though I knew I could do it. Now after watching this video I realised its because I didn't brace like I usually do since I was doing explosive movements just before. I usually just parallel squat as well & hadn't done butt to grass in ages. Going lower meant it was harder to brace. Gotta slowly work on bracing through different ranges of motion.
Same thing happened to me I was doing squats
This is awsome advise and drills that i want to do cause i suffer from a L5-S1 spondy. My squats are fine with pain (80% of the time pain free, exluding warmup) but deadlifts in 🥶 pain 70% of the time.
Man i love you thanks
Thanks for sharing this- watching the diagnosis and the exercise progression to the deadlift was key
This is awesome