Ultimate Guide to Exercises for Lumbar Herniated Disc Relief 2

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Did you find our previous article, “Disc Herniation Part 1,” helpful but are still battling discomfort? Are you eager to discover exercises that can effectively reposition your herniated disc and enhance your well-being? You’re in the right place.

In this comprehensive guide, we’ll cover:

  • Effective Exercises for Repositioning a Herniated Disc: Learn the top movements to gently coax your disc back into alignment, reducing pain and improving mobility.
  • Stabilization Techniques to Prevent Disc Displacement: Discover exercises that strengthen your core and back, ensuring your discs stay in place.

Understanding Lumbar Disc Herniation:

Lumbar Disc Herniation-Dr Ken Nakamura herniated disc Toronto Chiropractor
Lumbar Disc Herniation-Dr Ken Nakamura herniated disc Toronto Chiropractor

A herniated disc occurs when the disc’s nucleus breaks through the annulus, as shown in the illustration from neurosciences.beaumont.edu. But what triggers this displacement? The primary culprit is forward bending, which compresses the disc (think of it as a jelly-filled doughnut) and can lead to the annulus fracturing, allowing the nucleus to protrude and press against nerves.

Why Does it Hurt?

The disc’s exterior is tough cartilage, while its interior is softer, akin to mucus. Applying pressure on one side forces the inner material to the opposite side, similar to squeezing a doughnut. When a herniated disc or inflammation puts pressure on a nerve, pain ensues. The key to relief is applying counterpressure to reposition the disc.

For a deeper dive into herniated discs, refer to “Disc Herniation Part 1: Best Self-Treatments for Lumbar Disc Herniation.

How to Apply Counterpressure:

The strategy involves bending your spine backwards or into the extension to shift the disc away from the nerve.

Exercises to Reposition a Herniated Disc: Note of Caution:

Initially, these exercises might intensify your pain slightly. If pain significantly worsens or radiates further down your leg during these exercises, cease immediately and consult a professional.

Exercises for Lumbar Herniated Disc

#1 Prone Lying Lumbar Herniated Disc

  • Lie face down or prone in bed with your elbows tucked in under your side:
  • As soon as you get up in the morning you should lie prone (face down). By getting in this position, your lower back becomes more arched, or as doctors say, you increase your lordosis.
  • The increased lordosis pushes on the back of the disc helping to bring the nucleus forward into the correct position.

#2 Sphinx pose in Yoga For Lumbar Herniated Disc

#1 Prone Lying Lumbar Herniated Disc
Sphinx-Pose-Downtown-Chiropractor

  • Get into the prone position lying down on your stomach.
  • Next, get on your elbows. If you have a hard time with this position go back into the prone lying position.
  • Do these exercises hold each time for 1-2 seconds 6-8 times per set? This exercise can be repeated every two hours throughout the day.

Asses yourself. If the pain has decreased or the pain has moved away from the leg or thigh and into the hip or buttock, this is an improvement. Even if the pain is increased in the back but relieved in the leg this is an improvement and a green light that you should continue this exercise. You also get a green light if there is no difference at all.

  • If your self-assessment gives you the green light, move on to the Cobra exercises just below.
  • If your thigh or leg pain is worse, then stop right away.
  • If your lower back, thighs and legs are the same you get a green light, so move on to the Cobra exercises.

#3 Cobras For Lumbar Herniated Disc

#1 Prone Lying Lumbar Herniated Disc
Female doing Cobra to help with lumbar disc herniation

 

  • Lie down face down with your hands underneath your shoulders.
  • Push up from as high as you can until your lower back stops you or your elbows are straight.
  • The pelvis should still be on the floor and the lower back muscles relaxed.
  • Do these exercises hold each time for 1-2 seconds 6-8 times per set? This exercise can be repeated every two hours throughout the day.

Asses yourself. If the pain has decreased or the pain has moved away from the leg or thigh and into the hip or buttock, this is an improvement. Even if the pain is increased in the back but relieved in the leg this is an improvement and a green light that you should continue this exercise. If your thigh or leg pain is worse, then stop right away.

#4 Standing Extensions Lumbar Herniated Disc

  • Stand straight and put your hands behind your hips with your fingers facing down.
  • Push your hands into your pelvis so that your lower back arches.
  • Don’t use your lower back muscles
  • These exercises can be done 6-8 times for 1-2 seconds. This exercise can be repeated every two hours throughout the day.

Stabilization Exercises: Prevent Your Disc From Coming Out By Having A Stable Spine.

#1 Cat-Camel or Cat-Camel For Herniated Disc

Best Mid Back Pain Exercises: doing backbend in cow posture, bitilasana, exercise for flexible spine and shoulders, asana paired with cat pose on the exhale, studio
Best Mid back Exercises working out, doing cat pose, marjaryasana, exercise for flexible spine and shoulders, asana paired with cow pose on the inhale, studio
Best Low back Exercises working out, for lower back disc herniation. Back pain relief.
  • On all fours with your knees under your hips and hands under your shoulders.
  • Inhale and let your belly fall downwards toward the floor as you look up toward the ceiling for 2 seconds.
  • Exhale and arch your back up as far as it will go or until you feel pain. You should not feel pain with this exercise, otherwise you are going too high.
  • At the same time bend your neck forward and look toward your navel.

#2 Curl-Ups

  • To start, one foot is bent and the other is straight.
  • One forearm goes under the arch of your lower back to support it.
  • The other arm is supporting your head.
  • Your head and neck come up as one block until your shoulder blades clear the floor.
  • Do three sets of 5 working your way up to 10. If it’s easy, then hold for a couple of breaths.

#3 Squats

  • Stand in front of a chair as if you are going to sit on it.
  • Stand with your feet facing slightly more outward than your knee.
  • Make sure your butt comes out, and keep lowering your butt until you touch the chair.
  • Practice 3 sets of 10.

#4 Bird Dog

 

  • Get into a crawling position with your hands and feet shoulder-width apart.
  • Harden your core by contracting your abs and lower back. This is called bracing.
  • Lift your arm first. If this is easy, then lift your leg only. If that is easy, then lift the opposite legs and arms, for example, right leg, and left arm.
  • Want to make it tougher? Try lifting an arm and leg on the same side.
  • 3 sets of 10. If you are shaking a little or cannot balance quite right, you’re doing the right exercise for you, i.e. lifting just the leg or arm might be easy, but lifting opposite arms and legs might put you off-balance a bit. Make sure you are stable before going to the advanced bird dog.

Tell us what you think in the comments below and like us on Facebook. This Toronto Downtown Chiropractor will answer all questions in the comments section. Let us know your vote for the best Toronto chiropractor in the comments section.

References

1.  J Med Genet 2002;39:387-390 doi:10.1136/jmg.39.6.387

Leave a Reply

  • Hi doc. My friend have been diagnosed for her spine injuries. The MRI report was l5-s1 disc degeneration and central prolapsed disc. She done all the physiotherapy. But she still having back and leg pain. Can you help figure out what self exercises are best for her to fix back her spine? Hoping doc can help in this case…

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      Author

      Thanks for your question Sivaraja. I can’t help you as you haven’t given me detailed symptoms or her condition.

      Hope you understand that for you it would be better if your friend sees a professional for her possible herniated disc.

  • Hi. I was diagnosed with left lateral extrusion of l4/l5 disc with inferior migration and impingement of l5 nerve root 6 years ago. Since then i have mostly managed to work and stay mobile but am limited and have to be careful how i lift and bend. I have occurences two or three times a year when the issue seems to be worse and i need time off work. I get sharp pains when bending, lifting, tying shoes, sitting or standing for long periods. I also get pain in my left buttock and leg and pins and needles or numbness in my left foot. Can i follow the exercises given in this article or are there different exercises because of the type of herniation? Thanks in advance

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      Thanks for your question Phil. You are right.

      A good idea is to go to a chiropractor or physiotherapist that is experienced with this sort of problem. Your medical doctor is not that person. They can only refer you to a neurologist or surgeon like a orthopedic surgeon or neurosurgeon.

      If your problem doesn’t get better with a good health practitioner than you should go see a specialist. Give it 6 months first with several different practitioners.

      Hope that helps your lateral disc extrusion.

  • Firstly,thank you so much for providing such valuable information to us.It is really helping out so many of us.
    I am 24 years old.I have chronic back pain for last 3-4 years.My dad also had same issues when he was 32.I got treatments done regularly but to no avail.My pain came in intervals.It would last for 15-20 days ,then disappear for months.Then it would come back again and last for 15-20 days.This is why my doctors and I did not take it seriously initially
    1 month ago,I was walking without any pain and I suddenly fell due to sudden surge of back pain.My back simply could not hold me.I was not carrying any weights.I simply could not stand after that.I had an MRI done.Follwing were the results:
    Annular tear ,disc desiccation with posterior disc bulge and small right para-central protrusion at l4-l5 indenting anterior thecal sac and causing narowing of bilateral exit foraminae(RT>LT)
    Annular tear with posterior disc bulge and focal/small central protrusion at l3-l4 indenting interior thecal sac.
    spinal canal diameters-
    l3-l4 -11.1mm
    l4-l5 – 9.9 mm
    l5-s1 -11.3 mm

    I took absolute bed rest for 10 days as I could barely stand.And still took rest for 20 more days just to ease myself.Now I am fine and regularly doing exercises but I do only in morning.Is it okay or should I do twice everyday?Also ,I feel more and more pain in my thighs and knees.Should I be worried?Can I go for running/gyming as I am quite worried about my health now and want to get into fitness routines.PLease suggest .Thanks in advance

    • Also please suggest should I use the belt throughout the day or should I try to avoid wearing it as much as I can since my body will become dependent on it?

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        • Thank you for replying doctor.Could you kindly let me whether I should go for gyming or should I wait?Also should I exercise twice daily?Should I be worried about pain in thighs and knees?
          Thanks in advance

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            Thanks for your question Rohit. I don’t know what gyming is. I think you are referring to weights but that would depend on many factors. I would wait to lift any weights until you have full painless range of motion as I cannot advise you in stages. You should do the exercises 6 times a day.

            If you are getting new pain in the thighs and knees you should stop the exercises.

            Hope that helps with your herniated disc.

  • Thank you very much Sir.
    Is sulfasalazine helpful for AS(HLA B27 +ve). As my doctor has prescribed it and he says that the
    referred pain is of or related to significant SI joint inflammation and also inflammation in the lower back.
    Once again many thanks for the answers and the good work that you do.

  • Thank you very much for the reply Dr KEN. I rested for 15-20 days during that time, it was fourth episode of disc prolapse.
    Now it seems that I have symptoms of pain due to AS(pain in left upper hip till the hip joint) . Could you suggest some exercises or things that I should do or should not do. Thanks and awaiting your reply.

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      Thanks for your question Vikrant. When you say AS I assume you mean ankylosing spondylitis. You don’t do any exercises for AS Vikrant. Exercises are not appropriate.

      I seriously doubt you would have pain from a disc then right after from AS though. If these exercises help the AS is not active and you simply have a positive blood test. Just because you have a positive blood test doesn’t mean it will be active. eg. Rheumatoid factor is a common positive test. It doesn’t mean you have rheumatoid arthritis although it increases the likely hood. Even if you have Rheumatoid arthritis is doesn’t mean it’s active.

      Hope that helps disc herniation and AS.

      So if you get worse from the exercises you should stop. However if you get better continue the exercises as your AS is not active.

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    Thanks for your question Mani. Assuming you are getting nerve pain in the arms and legs it doesn’t make sense that you have a disc bulge at l4-l5 although it is possible you have two problems. As you don’t give enough detail about either I cannot help you.

    Hope you understand you have to give details about the disc herniation symptoms and also separately the arm pain. If they are related tell me how they are related.

    • Dear Dr. Ken!
      Great website with a lot of useful information. I’ve been reading a ton about spine issues for the past ~6 weeks and this is one of my favorite resources.
      Hope you can help me out with some advice regarding a possible disc issue. Here’s a short background story:
      I’m a 25 years old powerlifter from Hungary. Other than lifting I do no other activities (desk job). For the past year I’ve been training really hard to become the national champion in my weight class in 2016, but I’ve started having back issues in November. I probably pushed too hard with my training. Anyways, it started as a feeling of tightness in a spot on top of my right glute. For a few weeks I was still training hard once it has appeared, tried to work through it and fix the problem with various methods, all failed. I never really had more serious symptoms, but that’s because eventually I started backing off from hard training. I took time off (2 weeks), improved my hip mobility, worked on my glutes with a lacrosse ball (to “loosen” them up), improved my breathing, worked on core strength, glute strength, nothing reall fixed the problem – and the problem itself didn’t feel huge, it was just some tightness, sometimes I felt a little pain in the right glute itself. It was still annoying enough to make me not train properly.
      I’ve been to chiropractors (3 of them), PTs (2 of them) and I’ve been diagnosed with muscle strain, instability in the LHPC and things like that. Noone really cared about my symptoms or the fact that I’m an athlete and want to get back to my sport. They pretty much didn’t take the whole issue serious because my back problem didn’t stop me from doing my work and daily activities.

      Based on my research I’ve thought it could be a disc issue, mostly because the amount of time has passed without the problem going away. I went to an MRI and there’s a 4-5mm bulge at the L5-S1, I think in my case, this is actually the problem.

      My questions are:
      – I’ve been doing these extension exercises, but I have a few concerns. My base symptoms are very minor. If I do the easier exercises (such as Mckenzie push-up or the cobra) I basically feel nothing. If I do the further progressions, such as the standing, I sometimes feel more “tightness” at the usual spot. At times I even felt something down at my ankle shortly after doing the standing extension – that went away quickly. So my question is, is it good if I “provoke” some symptoms (no real pain at all) or should I just stick to those that make me feel nothing (but the work is still there I guess)?
      – Given that my symptoms are so minor, do you think it is sane to start training my competition lifts again (squat, deadlift) as long as I keep a 100% neutral spine? My issue is flexion based, so I guess until I avoid that, I shouldn’t push the disc out further.
      – I’ve also noticed on the MRI results that I do not have the natural curve in my lumbar spine, it’s rather straight. Does that have to do anything with anything when it comes to my rehabilitation? 😀

      For the past 3 weeks I’ve been going to physio to work on the LPHC instability. I’ve just done the MRI last week, so I’m pretty new to working on this particular issue.

      Hope you don’t mind the long message, in fact, if you need any more details in order to answer, please tell me!

      Again, thank you for the work you’ve done here!

      Bests,
      David

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        Thanks for your question David. Great detail about your pain.
        1. If the exercises like standing in extension gives you symptoms into the foot you should stop immediately.
        2. You should do the Cobra type exercises while lying down and try to breath out a let your low back sag, trying to go further back each time. Also you should do the exercises every 2 hours. If you don’t have the proper curves in your spine you can’t do the exercises properly but also you can’t dead lift or squat properly. Before you start you need to have a coach or personal trainer that knows the proper technique. Until the curve in your lower back is restored you have a good chance of having a much bigger injury.

        Hope that helps your disc herniation.

  • I am having posterior disk bulge at l4-l5 and suffering from pain in back from last 1.5 years i have tried cobra exercise but after that also when i sit in a car for a long journey i have intense pain in lower back . i can’t run pain comes in legs only when i run but otherwise they are ok but there is a huge nerve movements in legs and arms help pls.

  • Dear
    Dr Ken,
    It has been approx: 11 months that i was doing bed rest for my Herniated Disc. Since then I have been doing some basic exercises and also as you know I am HLA B27 +ve. My pain in lower back has gone but there is continuous manageable pain in my left buttock on the side between the hip joint and SI joint. Also mild pain on the inner side of the left hip joint.
    Please let me know if any specific exercises that I shall do to eliminate this pain?Also sometimes my inner thigh pains.

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      Author

      Thanks for your question Vikrant. You shouldn’t have bed rest for a disc herniation. Not more than 2 days in the most extreme cases. Stay away from that doctor. There is no recent research that indicates that it helps after the 2 day mark. With the complication that you could have Anklyosing spondylitis (AS) I cannot recommend exercises for you as they would not be appropriate for you. Anti-inflammatories would be for you if AS is what is causing your pain.

  • Hello Dr. Nakamura, I appreciate the positive impact your involvement with patient’s ailments is bring to people like me. Thank you very much for that. I would like to get some advice from you regarding my recovery process.

    I had a disc bulge diagnosed in Oct 2015. The following is the report.


    L1-L2: 1mm disc bulge without canal stenosis or nueroforaminal narrowing
    L2-L3: 1mm disc bulge without canal stenosis or neuroforaminal narrowing
    L3-L4: 1mm disc bulge and mild bilateral facet hypertrophy without canal stenosis or neuroforaminal narrowing
    L4-L5: 3mm disc bulge and mild bilateral facet hypertrophy resulting in mild neuroforaminal narrowing. No canal stenosis
    L5-S1: 2mm disc bulge and mild bilateral facet hypertrophy without mild neuroforaminal narrowing or canal stenosis

    IMPRESSION:
    1. Mild bilateral neuroforaminal narrowing at L4-L5 secondary to a 3mm disc bulge in association with mild bilateral facet degenerative disease
    2. Mild bilateral facet degenerative disease at L3-L4 and L5-S1
    3. No canal stenosis

    I re-injured my back to a slight extent while skiing in Dec 2015 (I should have been careful and not done skiing). To get better, I have been doing the above mentioned exercises and it has helped me greatly. Since Jan 2016, I have lived pain free. My questions are as follows

    1. Is the diagnosis of degenerative disease something for me to worry about? My doctor said that it is a normal process and is pretty common among everyone.
    2. How long does it take for the disc to heal? Will it ever heal to 100% or will the bulge be a weak link always?
    3. Given that I take very good care of myself (proper posture, good eating habits, lean body structure due to workout and doing the above mentioned exercises regularly), will it be possible for me to get back to long distance running without much risk of re-lapse?

    Your advice will be greatly appreciated. Thank you very much Doctor.

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      Thanks for your question Sri.
      1. Yes your doctor is correct degenerative disc disease is normal and everyone if they live long enough will get it. Most people of signs of it by the time they are 40 years of age.
      2. The disc doesn’t heal. The hole in the weakness in the disc remains. Unless the disc is a bad herniations which breaks the annulus, in which case the portion of the disc that is sticking out get broken down by the body after 6 months or more.
      3. Running isn’t usually the problem. Working out is usually the problem. Like squats and deadlifts which many people do improperly. I have personally seen it being taught incorrectly.

      It’s questionable whether the pain in your back is caused by the disc herniation. Your MRI results are what I consider mild.

      Hope that helps your possible disc herniation.

      • Thank you doctor, for your opinion. To recover from this I have been following this routine.

        Moderate to strenuous hiking (low impact, no running), only light-weight workout done using machines so as to not cause any spinal compression, planks and knee raises (on a dip machine) to strengthen the abdomen and exercises prescribed in this website for lower back.

        Could you please let me if I can continue this routine. Especially I was wondering if abdomen planks and knee raises (on a dip machine) cause any harmful compression on the lower back? If so, could you please suggest other abdomen exercises.

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          Thanks for your question Sri. With your diagnosis in doubt that a disc herniation is causing the problem I cannot say. In your case you ask your doctor. Your MRI and your symptoms don’t match up.

  • Ok Doc i understood so far but that long paragraph I´ve explained every detail, Could I receive in this case more detailed answers Doc please help me, answer my stated questions above please, I´ll be doing these exercises further more.

    Thanks for your generousity Doc,
    Peace Rilind

  • Doc i found your article while at work surfing the net and talking to germans on phone for costumer service, while talking to them i read all your answers on the comments on this article and immediately i told my phys.therapeut today we stop working together for the weeks further planned, long story short:
    Im 19 yro have been bodybuilding for 4 years til 1 year ago i injuried my back and kept working out and injuring my back with heavy weights daily, even though i was worsening the condition i kept working out with pain until after 5 months working out with back pain and a feeling of a pump in my lower back i trained one day legs so hard and intense i developed bilateral sciatica and femoral symptoms on both legs for about 2-3 months afterwards i had leg weakness, when it was hot during summer when i walked for a while and sit afterwards a electric feeling shootin through the roots of my both legs(annoying as hell) which i learned happened because of the fluid intake during night because that case usually happened mornings, at night numbness..
    I’ve went for massage on another country and another one yet none of them had success(which i learned that a herniated disc wont heal from a massage when its caused from an injury for a long time slowly), tried physical therapeutists in my country yet they’re all clueless none could help even though they were saying they studied sports injuries ,hopeless motherfookas, Btw i am from Kosovo,Albania
    The diagnosis of my MRI done 7 months ago:
    The height of the bodies of the vertebrae height regular, Bone structure without anomalous signals
    Dehydration levels of the intervertebral discs l4-l5,l5-s1 ;with slight narrowing of the intervertebral space l4-l5
    l3-l4 level bilateral bulging disc dorzomediolateral on disc 4 with narrowing of the vertebrae foraminal
    l4-l5 level protrusion dorzomedial intervertebral disc and bulging dorzomediolateral bilateri with narrowing of the vertebrae foraminal
    l5-s1 level protrusion dorzomedial with bulging dorzomediolateral with narrowing of the vertebrae foraminal;

    For the last 6 months I’ve been working 8 hours a day/5 days a week sitting on a desk I dont know if my condition has worsened a bit yes because of all the sitting but from 01.02 I’ll start working with 5 hour shift
    -The night before MRI i drank alot alcohol and when i woke up the next day for the MRI i had to walk like 3 miles and my legs were weak like doing 160kg squats for 20 reps probably thats why discs got dehidration
    I went swimming last month and I was told i could do any stroke as long as i swim which doing freestyle fast made me feel worser but as you said breast stroke, most physios on the internet dont recommend but they do recommend freestyle in which I’ve realised all of them are clueless because breast stroke was a bit of a relief.
    I never thought I’d learn so much about the importance of mobility, flexibility and rest to this day but for me weightlifting was like a tall man is told to walk with small steps but he cant because he has tall legs and it was his habitat to walk faster than shorter man, therefore the potential ..
    What do you recommend Doc , Greetings from Kosovo from a young aged advanced natural bodybuilder now injuried for almost a year looking to fulfill his dreams who’s been cursed with a bad path

  • Hi Dr. Ken,

    Am 32 years old and working in softwared field for 9 years , for the past two months am feeling tinging in my legs, tigh and ankle while doing certains action movements/positions of body, I am consulting Ortho and Neuro Surgeon for the past 3 weeks, initially he told to take MRI for Lumbar region in spine. In MRI report mentioned like L4-L5/S1 annular disc bulge and my doctor suggested to take pills (Zero Dol, Myroil and Maxigalin 75). I am not feeling better after taking all these pills and yesterday i went to meet for consulting and my doctor said like i need a immediate Micro discectomy surgery. Could you suggest me the whether i need a surgery or i can follow your exercises.

    Thanks a lot
    Singaram

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      Author

      Thanks for your question Singaram. Your situation is not an emergency as your doctor suggested pills initially. Assuming that your doctor knows what is and isn’t an emergency situation. An emergency situation is when you have pain, numbness or tingling down the inner thigh to your groin, or you cannot initiate urination or cannot hold your bowel movements, which means you would be wearing diapers. Another urgent situation is when you have deteriorating neurological symptoms. Like a foot drop that is getting worse and worse.

      Unless you have one of those situations than you should do conservative therapy. Always do conservative therapy first except for the emergency and urgent situations like I described above.

      Ask your doctor why they are recommending surgery when they haven’t tried conservative therapy.
      Ask your doctor if you have an emergency situation. You should know the answer.
      Did you go to a private clinic or hospital vs. a public clinic/hospital. I think you went to a private clinic/hospital.

      Hope that helps your possible disc herniation.

      • Thanks a lot Dr. Ken,
        Like you said i went to Private hospital only. I will be doing your exercise like you mentioned in your blog then let you know if i need any details/issue.
        Thanks once again.

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          • Hi Dr. Ken,
            I have consulted two more ortho and physiotherapists they are also suggesting me as option A as surgery and option B as Continuous traction CPT, Red rays IFT AND IRR. No one suggesting to do the exercise or yoga. But i am preferring exercises like you mentioned in your blog and yoga. Could you suggest me either initially i go for traction then i do the exercise and yoga. Or directly i can continue the exercises and yoga.

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            Author

            Thanks for your question Singaram. I would do the exercises first Singaram. I wouldn’t do Yoga as many of the poses can aggravate you. As for surgeons that don’t recommend conservative therapy first when it’s not an emergency situation you should seriously question them.

            Hope that helps your herniated disc.

  • I’m a volleyball player and I had slip disc from a month. Now I can walk and do all regular stuff. But I feel a lot of pain. Whem I bend. So after doing all these exercises will I be able to play volleyball again??.

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      Thanks for your question Swati. It depends on many factors like how bad you have a slipped disc, which direction the disc slipped as these exercises only help the most common type of disc herniations, not all types. If you have a unusual herniaton it won’t help and possibly make you worse.

      Likely the exercises can help but there is a chance they will make you worse. Also some people do the exercises a couple times and think they should be better. It takes consistency and effort to get better sometimes over a few months.

      In other words the answer to will you play volleyball depends on the nature of your disc herniation and your dedication to the exercises provided they are the right ones for you.

      Hope that helps your understanding of a disc herniation.

  • hello Dr ken
    wish you and the family a very happy new year.
    I was struck by L4-L5 S1 bulge with annular tear on 18 november 2015. i was horizontal for a period of two weeks and i could start rolling on my sides with minimal pain after two weeks. thereafter did 4 weeks of bed rest and at present am almost pain free. but the company doctor who i have to refer to (after 8 weeks ) insists that i need surgery on disc l4-l5 as he insists that its a prolapse to the right and may in future deteriorate causing irreversible nerve damage. i am almost symptom free at present.have a lot of muscle weekness and everytime the thought of the disc causing nerve damage enters my mind i feel a tingling sensation down my right buttock that am not sure is imaginary.the spinal canal is 1.66 sq cm and the disc herniation/prolapse/protrusion measures 5 mm in the MRI. the doctor also apprised me that my right calf is slightly thin as compared to the left calf and that in the reflex test on my right toe his assessment is 4/5 on the nerve in that toe.i request you to please advice. thank you.

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      Thanks for your question Adarsh. First bed rest is simply wrong. All the studies indicate that for disc herniations that bed rest at most in the most severe cases should be 2-3 days. That is an exceptionally bad case. It only causes more harm to do more bed rest. The fact that the advice is more than 30 years out of date but in the rest of the world except for India is interesting. Bed rest does more harm if you go beyond this.

      Also microdisectomy surgery which is the most common type of surgery for disc herniations is not very successful for disc hernitions that measure less than 8mm measuring from front to back. While a calf that is thinner is certainly concerning you haven’t been walking or doing much of anything but bed rest.

      You need a second opinion from a public system if you are India.

      Hope that helps your l4-l5 disc herniation.

      • dear Dr Ken
        thank you for your reply.
        I shall take another opinion.well since ive already done the bed rest,guess ill just have to get my muscle back, because my back seems weak. II am walking pain free with an occasional feeling/sensation of radiation to my right gluts which disappears once i rest. My decision was not to take the surgery and wait for the first clinical symptom that will affect me in a major manner.Meanwhile i plan to do the exercises suggested by your website.
        thank you for your time and advice.
        regards

  • Hi Dr Ken,
    I am 48 years old female and I am having back pain .The MRI showed L5 disk bulge. The doctor advised me to take RF injection which i did. After the injection , the pain goes away and now i am okay .He also advised me to lose some weight and do some exercise to straighten the back muslces. Is it okay for me to do aerobick , yoga and jog on the treatmill . I am not sure which exercise i should do and should not do.
    Thanks Dr.

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      Author

      Thanks for your question Azida. I can’t advise you when the only symptoms you say you have is back pain. Since RF injections kills nerve cells any number of causes is temporarily blocked for up to a year, that is all. It doesn’t tell me the cause. Since most disc herniations are almost normal and often don’t cause pain that may or may not be your diagnosis.

      You need to give me much more detail about your symptoms.

      Hope you understand that MRI disc bulges and saying you have back pain simply isn’t enough for any doctor.

  • Hello,
    I am female, 34 years old. Recently, I discovered some disorder in my urination, that I went urinating more often than usual. I went MRI, and found out protrusion in L3/4 very light. I dont feel any pain in my back. Just the disordered urination (feel wanted to urinate right after), and some times a little uncomfort in low back when get up in morning. I did ultra sonic screening for knees and bladders, all fine. Also check gynaecology, no problem. So the disordered urination is prescribed due to the protrusion in L3/4. I am doing some treatment, acupuncture. It helps very much. I am sport addicted, been playing a lot from yoga, swimming, body pump with weight, zumba, cycling, inclined jogging, boxing…. So, my question is what type of exercise should I remain during the treatment, and what other else should I play to help treating the protrusion? Can I keep indoor cycling and plank? Or can I keep all, but pay better care to all moves during exercise and stop right when I feel uneasy?
    Thank you so much,

  • Hi dr. Ken.
    I was diagnosed with medial disc extrusion L4/L5. I feel pain in the right part of my lower back. You mentioned that by doing extension exercises the disc can be return back. Moreover,any flexion make things worse. Is it also true for medial extrusion which is directed to the right side? Thanks

  • Hi Ken,

    I have right side disc protusion on my L5-S1. Mostly, I feel weakness/pain in my lower back and occasional hip pain as well. Are these exercises safe for me or any other exercises which can help me. Also, during the past 2 years, i have had a situation couple times when i was not able to stand on my feet or was able to sit for even a second. I had to lie down immediately otherwise i was feeling dizzy. I went to see doctor and he referred me for MRI. After going to few physiotherapy sessions, i was able to recover after a week and its been 10 months now, i havent had that problem again except sitffness morning and evenings.

    MRI showed at L4-L5, a mild posterior disc bulge which minimally effaces the thecal sac but does not cause canal or foraminal stenosis.
    At L5-S1, a right paramedian disc protusion which effaces the thecal sac and reaches the descending right S1 nerve root in the lateral recess.

    Could you please advice any exercises/treatment which can help me getting better. I would be very thankful to you.

    Prabhdeep

    • Post
      Author

      Thanks for your question Prabdeep. Just do these exercises. They are a perfect fit for you. If the exercises increase the pain or increase symptoms further down the leg then you should stop the exercises.

      Hope that helps your disc protrusion at L5-S1.

  • Hi Ken,

    Thanks for the very informative site! I have had mild but somewhat annoying sensations of cool wind blowing on my left leg periodically for the past couple months – mostly the front and side, very occasionally the back. I got tuina massage and acupuncture on my back (which had flared up with pain, which has now subsided) and it seemed to improve (I wonder if the pain went into my back, and is now moving back down into my legs… my legs aren’t painful just that cold sensation though), but it has since come back again (or it could be the weather, I’m not sure… it’s kind of on and off). Prior to starting the tuina/acupuncture treatment, I was sent for a CT and diagnosed with L5/S1 posterior disc protrusion (it’s in Chinese as I’m in China so I’m not exactly sure if it’s a bulge or herniation). No other abnormal findings. The doctor immediately sent me for a scan, didn’t do any other nerve testing. I have been doing the back extension exercises you recommended and that seemed to help during the flare-up time, though to be honest I haven’t been religious about them since I thought things had gotten better.

    I have a history of a fairly asymmetrical/ rotated hip (my left SI joint is a bit lower than the right) and left tight piriformis, hip flexor and adductor muscles — perhaps a result of some bike falls on my left side, or posture? I also have had two bad right ankle sprains, leaving me hopping on my left leg for a long time. I’m also a grad student so I sit a LOT (I try to use good posture, and to get up sometimes, but there is a lot of computer work).

    Do you think these cool sensations are likely to be a result of my disc protrusion? I have the actual CT scan with me, if that helps (not sure how I would send it though)! Will the weird sensations ever go away?

    All the best,
    Pauline

    • Post
      Author

      Thanks for your question. The cold sensation can be a result of a few different reasons. It can be the disc protruding enough to push on the cauda equina which is basically the spinal cord. That is the most likely situation. With the bike falls and ankle sprains you are putting uneven pressure on your lower back. This can cause the disc to protrude out. Most people have pain in the lower back as well but not necessarily. Sitting and rising from sitting and rising from bed in the morning are often a problem. Keep up with the exercises every 3 hours.

      Hope that helps your possible disc herniation.

  • Dear Doctor.
    I got stuck in my lower back 3 weeks ago. I went for massage and it helped. But since then, I felt pain even in my right thigh and I can’t sit more than a few minutes. I visited the doctor and she said that it herniated disc. I do some exercise and I’m going visit chiropractor. Now I feel pain more on my left site (maybe because of twist exercise). I would like to ask you how dangerous it is for me and for my life. I used to have sitting job and picked up little boy (18 kg). I am 27 year girl. Could exercises really help and I could have the same job? Or will I still feel this pain after long time sit?
    Thank you very much for your time and answer.

    • Post
      Author

      Thanks for your question Salome. If you had pain in the leg and have more pain in the lower back then you are getting better. If you only had back pain and the pain increased then you are getting worse but most of the time exercises will help.

      Try the exercises. The exercises can also make you worse so be aware. IF the pain or any symptoms like numbness or tingling go further down the leg than you are getting worse and need to stop the exercises. These exercises should be supervised by a health practitioner.

      Hope that helps your disc herniation.

Dr Ken Nakamura downtown Toronto Chiropractor
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Dr. Ken, has been recognized as the Best Toronto Chiropractor in 2024, 2023, and 2018, here in downtown Toronto. As a sports chiropractor, he excels in treating a wide range of conditions including concussions, temporomandibular joint disorders (TMJ), sports-related injuries, and spinal issues. Beyond his clinical skills, Dr. Ken is an accomplished athlete, having represented Ontario in the Canadian Judo Championships and completed the Toronto Marathon on two occasions. He employs the innovative C3 Program to provide targeted and effective care to his patients, ensuring a holistic approach to their well-being and athletic performance.