The sitting killed me. I was progressing on my lower back. Then had to commute, sitting in traffic for 2hrs after work and two 1.5hrs in the AM, wiped out progress and made worse, sciatica for 3 months now with a herniated l4/l5. Couldn’t get more than 3 hrs a night. After I saw one of McGills video about a hooked l5 nerve, then I realize that if I till my head back while reclined I avoided the terrible sciatic pain. For a almost a month now I have been able to sleep more than 5hrs.
The nerve tension can be increased with neck flexion in certain cases. Glad it helped. Sitting and driving are big triggers for back pain and sciatica.
Wow! What a wonderful video. Thank you so much. I have just begun the McKenzie approach with a certified PT and it is all making sense. I have great faith this is exactly what I need.
This is so reassuring because everything you said in this video my PT have me doing everything you said and my scatica is healing. I'm in week 4 and about 85% better and just got in PT going on 2 weeks now and feeling way better than before.
I was watching Dr McGill last night and he said the full press up should only be used if the person has 70% of their disk or more. For those who don’t have a full disk, he recommended just laying flat on your stomach or with just a very small amount of head lift (rest head on one fist). I’m curious your thoughts/experience on this. Thank you.
A lot of great information in your video wow. I am 24 and diagnosed with two lumbar herniated discs. Do you think with the mentioned exercises/stretches, good posture and a healthy diet is it possible for someone to completely heal a herniated disc? And by healing, I mean not just stopping the pain, but to return the disc to where it was before
Often times you will see a repair of the disc on MRIs after a year after the injury. The disc is not As resilient as it was prior to the herniation but can often become asymptomatic and not a problem
From the McKenzie web site: MDT is NOT just extension Although a common treatment recommendation, all planes of movement are considered in both assessment and treatment. The direction of exercise utilised in treatment is dependent on the symptomatic and mechanical response to repeated movements or sustained positions during the assessment process.
If a patient has sciatic pain due to stenosis, weak core, anterior pelvic tilt, should we proceed with McKenzie method because she is already hurting when ever she goes into extension/ standing? Or should we stabilize core muscle first through things like Mcgill Big 3 and then try McKenzie gradually?
Good question. The Mckenzie Method takes people through an evaluation of repeated movements both flexion extension. Whatever the diagnosis may be the response to that movement determines which stretch we give them. If there isn’t an improvement in function or pain we will proceed to recovery of function. even if the diagnosis is stenosis sometimes they respond to extension even though that would contradict the x-ray or MRI image
If you're doing McKenzie pushup make sure you don't have anterior pelvic tilt ,,else it will only make it worse ,,,you can't extend already extended Lumbar spine ,,make it hyper extend and makes the disc bulge worse
Doing the prone stretches for several weeks has eliminated my sciatica leg pain. But now I have muscular pain in my back from doing those exercises. How do I eliminate that?
@@apexmovebetter Your advice worked. Stopping the exercises for a week and doing the trunk strengthening eliminated the muscular pain in my back. Doing the prone exercises regularly has eliminated most of my sciatic leg pain, but I still get some lower back pain during the day if I'm not careful when bending over to tie my shoes and doing other tasks. Is there anyway my lower back pain can be eliminated completely or am I expecting too much?
By far the best video I've seen on this subject. I herniated a disc 5 weeks ago, was doing the press up but no change so now been doing the offset for 2 days as my pain is just to the left. How long can it take before centralization? Cheers
If you don't see a change in 3-5 days this may not be the correct stretch for you. It could be related to activities you are doing at home or sitting too long. Sometimes you need a PT evaluation if it isn't a straight forward case.
@@apexmovebetter thanks for the reply. The offset is helping as its reduced the lower back pain and moved that central, I get pins and needles in my foot only when sitting which is only driving at the moment. When is a person able to sit after this injury?
@@wiffer22222 it will vary. Sitting tolerance should gradual improve but give be proactive about breaking up the sitting times if you still have symptoms.
@@apexmovebetter sorry one more question. When we talk about centralization is this just talking about bringing sciatic pain from the leg back to the spine? My pain was mainly just to the left of spine and the offset press up has moved this central.
@@wiffer22222 that is exactly what you want. Eventually it should take it away completely. Once it is at the spine. It really depends but yours is showing improvement.
Every time I try ti bend my back backwards I end up in such a bad flare for the next three days. I have read that if you also have arthritis in the spine and sacrum the pushups are not good. Is that true?
A bit confused with my symptoms. I have bad sciatica down my left leg. Found out about these exercises a week ago. I immediately started them and saw improvements within 2-3 days. Then, around the 5th or 6th day of doing them, things started getting worse. Now, when I do the exercises, they aren't working at all (very demoralizing). Nothing has changed about my daily routine. Now I'm not sure what to do..
If they helped you initially you have may have reached the maintenance phase and need to do them less often or another factor is affecting your symptoms.
@@apexmovebetter Thank you for the reply. I am going to lay off them for a bit and just see how the symptoms develop. There is nothing that has really changed in my daily routine other than I actually committed to sitting less often and using a standing desk + doing the exercises. I also walk for 20-30 minutes a day. I will remain positive, thanks again
I herniated a disc into my sciatic nerve on Monday. It's currently Thursday and have been doing these exercises since the start and it's really helped. Unfortunately, I drive for a living and if I don't, I can't pay my bills. I get in and out of my car once every 20-30 minutes and walk, so, hopefully that helps a bit. Sitting actually does help the pain go away, so it's tolerable. I've wanted to implement the side-glide, but I'm not sure if it would be too much too quickly. Any advice for when or if to implement them?
If you getting relief from the at standing extension and the press up I would not do. The side glide. It may take more time because of the nature of your job but give it another week. Tell us how you do!
From your video where you used pillows under the belly if that is the right place for me to start then how long should i wait to transitiont complete ( full) stretch ?? Should it be within the first session or may be wait until next day ??
My experience is that doing core work while still going through the McKenzie exercises can nullify the benefits of the exercise. It is on a case by case basis. You can try the core work with and another week without the core to see if there is a difference.
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The sitting killed me. I was progressing on my lower back. Then had to commute, sitting in traffic for 2hrs after work and two 1.5hrs in the AM, wiped out progress and made worse, sciatica for 3 months now with a herniated l4/l5. Couldn’t get more than 3 hrs a night. After I saw one of McGills video about a hooked l5 nerve, then I realize that if I till my head back while reclined I avoided the terrible sciatic pain. For a almost a month now I have been able to sleep more than 5hrs.
The nerve tension can be increased with neck flexion in certain cases. Glad it helped. Sitting and driving are big triggers for back pain and sciatica.
Wow! What a wonderful video. Thank you so much. I have just begun the McKenzie approach with a certified PT and it is all making sense. I have great faith this is exactly what I need.
Best of luck feeling better!
This is pure gold. Thank you very much!
Thank you!
This is so reassuring because everything you said in this video my PT have me doing everything you said and my scatica is healing. I'm in week 4 and about 85% better and just got in PT going on 2 weeks now and feeling way better than before.
Great!
I was watching Dr McGill last night and he said the full press up should only be used if the person has 70% of their disk or more. For those who don’t have a full disk, he recommended just laying flat on your stomach or with just a very small amount of head lift (rest head on one fist). I’m curious your thoughts/experience on this. Thank you.
Excellent suggestions!
Glad you think so!
the commercials are MUCH LOUDER then the content
A lot of great information in your video wow. I am 24 and diagnosed with two lumbar herniated discs. Do you think with the mentioned exercises/stretches, good posture and a healthy diet is it possible for someone to completely heal a herniated disc? And by healing, I mean not just stopping the pain, but to return the disc to where it was before
Often times you will see a repair of the disc on MRIs after a year after the injury. The disc is not As resilient as it was prior to the herniation but can often become asymptomatic and not a problem
Excellent information. Thanks.
Thanks!
*Mckenzie extension exercises are only beneficial if you have at least 70% disc height left. Any less, then they simply cannot work.*
From the McKenzie web site:
MDT is NOT just extension
Although a common treatment recommendation, all planes of movement are considered in both assessment and treatment. The direction of exercise utilised in treatment is dependent on the symptomatic and mechanical response to repeated movements or sustained positions during the assessment process.
If a patient has sciatic pain due to stenosis, weak core, anterior pelvic tilt, should we proceed with McKenzie method because she is already hurting when ever she goes into extension/ standing? Or should we stabilize core muscle first through things like Mcgill Big 3 and then try McKenzie gradually?
Good question. The Mckenzie Method takes people through an evaluation of repeated movements both flexion extension. Whatever the diagnosis may be the response to that movement determines which stretch we give them. If there isn’t an improvement in function or pain we will proceed to recovery of function. even if the diagnosis is stenosis sometimes they respond to extension even though that would contradict the x-ray or MRI image
If you're doing McKenzie pushup make sure you don't have anterior pelvic tilt ,,else it will only make it worse ,,,you can't extend already extended Lumbar spine ,,make it hyper extend and makes the disc bulge worse
Doing the prone stretches for several weeks has eliminated my sciatica leg pain. But now I have muscular pain in my back from doing those exercises. How do I eliminate that?
I would stop exercises for one week. Then I would do my trunk strengthening exercises. Tell us how you do.
@@apexmovebetter Thanks for the fast, personal reply. I will follow your advice and let you know the results.
@@stratcat4461 please do
@@apexmovebetter Your advice worked. Stopping the exercises for a week and doing the trunk strengthening eliminated the muscular pain in my back. Doing the prone exercises regularly has eliminated most of my sciatic leg pain, but I still get some lower back pain during the day if I'm not careful when bending over to tie my shoes and doing other tasks. Is there anyway my lower back pain can be eliminated completely or am I expecting too much?
@@stratcat4461 What kind of trunk strengthening exercises did you do?
By far the best video I've seen on this subject. I herniated a disc 5 weeks ago, was doing the press up but no change so now been doing the offset for 2 days as my pain is just to the left. How long can it take before centralization? Cheers
If you don't see a change in 3-5 days this may not be the correct stretch for you. It could be related to activities you are doing at home or sitting too long. Sometimes you need a PT evaluation if it isn't a straight forward case.
@@apexmovebetter thanks for the reply. The offset is helping as its reduced the lower back pain and moved that central, I get pins and needles in my foot only when sitting which is only driving at the moment. When is a person able to sit after this injury?
@@wiffer22222 it will vary. Sitting tolerance should gradual improve but give be proactive about breaking up the sitting times if you still have symptoms.
@@apexmovebetter sorry one more question. When we talk about centralization is this just talking about bringing sciatic pain from the leg back to the spine? My pain was mainly just to the left of spine and the offset press up has moved this central.
@@wiffer22222 that is exactly what you want. Eventually it should take it away completely. Once it is at the spine. It really depends but yours is showing improvement.
Every time I try ti bend my back backwards I end up in such a bad flare for the next three days. I have read that if you also have arthritis in the spine and sacrum the pushups are not good.
Is that true?
If it causes that reaction don’t do it. You really only know the best exercise after a full physical therapy evaluation.
These are the most common I give out but by no means the only or appropriate for everyone
What If you bend back with Mackenzie cobra and big pain? Thank you sir 😊
need to turn sound up.
Will work on that
A bit confused with my symptoms. I have bad sciatica down my left leg. Found out about these exercises a week ago. I immediately started them and saw improvements within 2-3 days. Then, around the 5th or 6th day of doing them, things started getting worse. Now, when I do the exercises, they aren't working at all (very demoralizing). Nothing has changed about my daily routine. Now I'm not sure what to do..
If they helped you initially you have may have reached the maintenance phase and need to do them less often or another factor is affecting your symptoms.
@@apexmovebetter Thank you for the reply. I am going to lay off them for a bit and just see how the symptoms develop. There is nothing that has really changed in my daily routine other than I actually committed to sitting less often and using a standing desk + doing the exercises. I also walk for 20-30 minutes a day. I will remain positive, thanks again
@@Kamadaytrades good luck !
Should I be doing McGill’s Big 3 or McKenzie Stretch or both for Herniated Disc (L4-L5)?
I would first do the McKenzie exercises. If you plateau move to the McGill 3. Good luck!
I herniated a disc into my sciatic nerve on Monday. It's currently Thursday and have been doing these exercises since the start and it's really helped. Unfortunately, I drive for a living and if I don't, I can't pay my bills. I get in and out of my car once every 20-30 minutes and walk, so, hopefully that helps a bit. Sitting actually does help the pain go away, so it's tolerable.
I've wanted to implement the side-glide, but I'm not sure if it would be too much too quickly. Any advice for when or if to implement them?
If you getting relief from the at standing extension and the press up I would not do. The side glide. It may take more time because of the nature of your job but give it another week. Tell us how you do!
@@apexmovebetter thanks for the feedback
From your video where you used pillows under the belly if that is the right place for me to start then how long should i wait to transitiont complete ( full) stretch ?? Should it be within the first session or may be wait until next day ??
Should be the first session after 3-5 minutes but is quite variable.
@@apexmovebetter ok , thanks for the reply .
Is it normal for the press ups to make your leg pain worse at first? This is what im struggling with.
It should not make your pain worse in the legs.
What if I can barely move or walk unless I’m medicated?
You may need an in person evaluation if these suggestions don’t apply.
Could the McKenzie method cause stress fractures in the pars interarticularis?
I doubt it but it is possible. Any movement can possibly to do harm or good depending on the persons circumstances.
Can I do mckenzie during core strengthen if It makes pain good ?
My experience is that doing core work while still going through the McKenzie exercises can nullify the benefits of the exercise. It is on a case by case basis. You can try the core work with and another week without the core to see if there is a difference.
@@apexmovebetter makes sense because when I do stabilization my spine becomes stiff for McKenzie.
Thanks.
@@abdrnasr tell us how you do
McGill is the best
I agree McGill rocks!
You need a better audio setup. I'm moving along.
Newer videos we have improved audio.
Good video but so many ads
try cabbage shakes they dont taste good but the fix lower back pain
Ok……