Ultimate Guide to Exercises for Lumbar Herniated Disc Relief 2

Image

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

  • Thank you for this article,i am 26 year old suffering from herniated disc at L4-L5 and a L5-S1 since july 2014. I had physical therapy for a month but that was of no use then i followed your exercises and i know i am abit better now, but i want to know that can i do gym as i love working out in gym as its a part of my career, i feel numbness in my lower portion and some time pain in front of the thigh and stamoch and lower down the legs what else i can do to fix this and back to my normal life, can i do swimming i just want to get my flexibility back so i can dance and play sports again

    • Post
      Author

      Thanks for your question Rohit. While you have numbness in the “lower portion” and the thigh etc… I don’t recommend that you do any weights. You should try to do the cobra exercises ( not like in Yoga but the way I describe) harder. Also you should go the execises every two hours during the day.

      If the exercises increases the numbness, tingling or pain than you are going too hard. You should stop the exercises.

      Hope that helps your herniated disc.

  • Hi Dr,

    Thanks for these exercises. I have had disc herniation in l4/L5 & sciatica from past 1.5 years. Earlier I had issues standing or lying down and absolutely no issues sitting. I could sit for hours with no pain but whenever I was standing over 1hr it used to pain me in my left leg butt and calf area. Then after disc decompression therapy using SpineMed machine I don’t have any pain while standing or lying down. However now I can’t sit for more than 10min. I have lot of pain in my butt and calf area when I am sitting. Whenever I stand the pain goes away. MRI shows disc herniation but i am not sure if it is a soft tissue thing or a real herniation issue.

    Please advice.

    • Post
      Author

      Thanks for your question Rahul. Hope you didn’t pay a lot of money for the decompression. From what you say you likely have a posterior herniation now. The nature of your hernation has changed. You should try the exercises with caution.

      If the exercises give you increasing pain or makes the pain or tingling go further down the leg than you should stop the exercises. If you do the exercises in a gradual way and not rush things you will likely run into problems.

      Hope that helps your disc herniation ( L4/L5 sciatica).

  • Hello Dr Ken Nakamura,

    I received my MRI report stating “At level of L5/S1 there is broad to large central posterior disc protrusion, facet arthropthy, causing modest to marked pressure on thecal sac and exiting nerve bilaterally” else every thing is normal.
    My Dr suggest me physiotherapy for 1 month .. What do you suggest …

    • Post
      Author

      Thanks for your question Fahad. I recommend doing the exercises first. If the exercises don’t help than do physiotherapy. Keep in mind if the exercises cause increased pain or pain further down the leg or buttock than you should stop the exercises.

      Hope that helps your large central posterior disc protrusion.

  • Hello Dr,
    This is Pallavi again. To remind you , I am suffering from sciatica from herniated disc from last 2 months. My report is given below. Kindly go through and advice on the exercises. I will have severe pain at night while sleeping and find it very hard to move my leg. I should struggle to sit for some time and then go to sleep again. I don’t understand why is this pain at night.
    Impression:
    MRI of Lumbosacral Spine shows,
    1. Lumbar Spondylosis
    2. Paraspinal Muscle Spasm
    3. There is a small broad based focal central disc protrusion seen at L4-L5 with mild impression on the Thecal sac. No obvious nerve root compression.
    4. Diffusely bulging disc with a large broad based focal central and bilateral paracentral disc protrusion (Right> Left) seen at L5- S1 with moderate impression on the Thecal sac and both S1 traversing nerve roots (Right > Left).
    5. Whole Spine screening shows spondylotic changes.

    Regards,
    Pallavi

    • Post
      Author

      Thanks for your question Pallavi. First I have a search function for all comments and your name doesn’t come up. Second you should go through the exercises in this article. Provided that the disc herniation is causing your problem than you should get better with these exercises. Please keep in mind that just because you have a disc herniation on MRI doesn’t mean it’s causing your pain. For example research shows that 30% of 30 years have a disc herniation with no symptoms. This means I can do an MRI on 100 people and 30 of them will have a disc herniation and at 10 of them will as bad as you or worse. The problem is they have no pain.

      So what I am saying that if your disc herniation is causing you pain the exercises will help. If your doctor didn’t do a proper diagnosis and diagnosed you by MRI you are getting the wrong diagnosis thus the wrong treatment.

      Hope that helps your understanding of disc herniations.

  • Hello Doctor,
    I had written you earlier about my herniated disc at L4-L5 and L5-S1 which has compressed my right sciatica and caused my leg pain till the ankle. It has been 2 months now and now I have got rid of pain killers. I have pain some times which is bearable. Now I can walk around 50 ft with manageable pain, can sit continuously for 1 hr, stand for around 5 mins. While lying down I have no pain except some times. I tried doing your exercises, but as I go to prone position, my leg starts paining or have burning sensation in my ankle and my calf which is not there otherwise. So, I am a little confused to do the exercises. Kindly advice.
    Regards,
    Pallavi

    • Post
      Author

      Thanks for your question Pallavi. Likely you have an anterior or lateral disc herniation. In this case you should try flexion exercises like rising sun and toe touches. If they give you pain going down further into the leg or turns tingling into numbness or makes your pain worse, than you should stop.

      Hope that helps your herniated disc.

  • hi Doc
    I have a L5- S1 protusion i have been having lyicra for the last two months I was able to walk and do normal stuf till a few days ago and also did not need pain killers Recently i went out for 3-4 on holiday days and walked for 3-4 hrs a day continuously for 3 days now after that last two days i have not been able to get out of bed and even walking a little is giving me pain in my lower left thigh and calves wht do i do SOS plus has this resulted in worsening my condition

    • Post
      Author

      Thanks for your question Anindya. It sounds like you masked the pain with Lyrica and didn’t know you were causing yourself harm as the painkillers was masking the pain. You should do the exercises in this article to see if they help. If the exercises cause pain to go further down the leg or pain to increase further or make tingling turn into numbness than you should stop the exercises.

      Hope that helps your disc protrusion.

  • Dear Dr
    I copied my report as it is
    MRI Lumbosacral Spine
    Sagital T1 and T2W FSE, axil T1 and T2W FSE Through iv discs stacked T2W axil and coronal STIR sequences
    There is loss of normal lumber lordosis.
    Vertebral bodies shows normal height alignment and marrow signal.
    Marginal osteophytes are seen on the anterior aspect of L1 and 2 vertebral bodies.
    L1-2 iv discs shows mild desiccation with reduced heights
    L2-3 and 3-4 iv discs shows mild desicatio and diffuse bulge encroaching on neural foramina bilaterally
    L5-S1 iv disc shows mild desiccation and an asymmetric bulge encroaching on the left neural foramina
    The left facet at L2-3 shows prominent degenerative changes.
    Ligamentum flavum appear normal.
    The spiral canal appears adequate.
    The conus medullaris appears normal and terminates at 1 level

    The sacro-iliac joints appear unremarkable.
    A10 mm rounded lesion is seen in the sacrum at S2 level on the right side.
    The lesion appears hyperintense on T1 and T2W Sequenses and suggestive of a small haemangioma

    IMPRESSION
    1) Disc bulge L4-5 and L5-S1 level
    2) Arthropayhy of left facet at L2-3 level.
    3) Small 10mm lesion in sacrum suggestive of Haemangioma..

    • Post
      Author

      Thanks for your MRI report Umesh. The report is detailed and seems well written. The disc bulge or protrusion at L5S1 is pushing on the left nerve. If you have pain going down the left buttock, thigh or leg than this is likely the culprit of your pain. As you can see from the report you have many things going on in the lower back. You have degeneration in the L12, L23 and L34 discs. You likely don’t have pain higher up in your lower back. Most of your pain is likely in the lower part of the low back around L5S1. This shows you that what you see on MRI doesn’t correlate with pain. You have correlate your present pain and your history of pain with the examination along with the MRI. Only then can you figure out where the pain is coming from.

      In this case I would do the exercises in this article.

      Hope that helps your disc bulge.

      • Thanku so much for reply Doc…. My pain in the left thigh is increasing day by day… I also started exercise as suggested by you Doc… Pls help me

        • Post
          Author

          While there are other exercises it is not possible for me to recommend them without an examination. If the pain is increasing in your thigh than the exercises are not for you Mesh. I am sorry that I cannot help you.

          Hope your disc herniation gets better.

  • Hi Dr
    First of thanks for your kind support to all patients those suffering from such a painful diseases… The way you reply to all.. You take out time from your busy schedule to suggest people…. I have pain in my lower back… MRI is also done.. As per Dr this is minor slip disc… I have pain on the left side which goes to my left leg and I feel heat also on the backside of left thigh… Pls help me… Can I have your email add so that I will send you my reports… Regards Umesh Kumar CEO samachar plus News Channel

    • Post
      Author

      Thanks for the question Umesh. If the slipped disc is minor than you should get better with these exercises here in this article. I don’t give my email as I need to keep that private. I give my a lot of time answering questions on this website, in addition to working as a downtown Toronto Chiropractor. Hope you understand.

      Hope that the exercises in this article for disc herniation helps.

        • Post
          Author

          You don’t need to send me the reports Umesh. Just write down what it says in the report. All I really need to know is if it’s posterior or lateral disc bulge or herniation.

          I’m a little troubled that your doctors, physiotherapists and others haven’t helped you so far. I would have thought you have already have explained everything to you. I find the MRI and X-ray reports from India (not sure about Pakistan or Bangladesh) to be of great quality and detail.

          Hope that helps your disc herniation.

  • Hello, according to the MRI report my mother has – “central disc prolapse at c5-6 and c6-7 and bulge at c3-4 and c4-5 levels indenting the thecal sac” and the whole spine screening reveal centrolateral disk bulge at l3-4, l4-5 and l5-s1 levels. Is surgery an option in thsi case or the exercises will help?
    Thank you.

  • Thank you so much for your prompt reply doctor. My doctor had clinically examined me and had told me that it’s not too much to worry about. But with two kids and a painful back and leg which isn’t getting better It’s hard not to worry. My physio is giving me flexions to start with. Within how many days does the pain usually subside a little ? How will I know if this is working for my back? She is also an acupuncturist. Do u recommend that too ? My ortho had advised short wave diathermy to start with. But keeping my recent post partum state in mind my physio postponed it and is instead using muscle stimulators to relieve me of the pain. Are muscle stimulators very effective ?

    Thank you so much again.

    • Post
      Author

      Thanks for your questions Dia. Your physio thinks the spondylolisthesis is causing the pain in your back since you have been given flexion exercises. It’s good place to start. When doing flexion exercises if you feel worse by an increase in pain or the pain goes further down the leg or tingling turning into numbness means that you are getting worse. If you get worse stop, rest a day then try extension. Same rules apply for extension. For either exercise you start by lying down as there is less of a load or weight on your lower back when you are lying down.

      Hope that helps your disc herniation and spondylolisthesis.

  • Hello doctor

    Last year I had a severe sciatic attack. But due to my family and work obligations I could not really rest too much. I conceived after that and my lower back as well as right leg pain worsened in the fourth month of my pregnancy. My leg, buttock and back pain became unbearable by the time I delivered. I delivered two weeks ago and finally did my MRI.

    My MRI reports said :

    1. Grade 1 spondylolisthesis is seen at L5-S1 level with bilateral pars interarticularis defects.
    2. Bilateral pars interarticularis defects are also seen at L3-L4 level with no spindylolisthesis.
    3. L4-5 disc is partially desiccated and exhibits mild posterocentral disc protrusion with inner annular tear indenting on the thecal sac without nerve root compression
    4. L5-S1 disc is partially desiccated and exhibits mild broad based posterior disc protrusion with inner annular tear effacing anterior epidural fat without nerve root compression.

    Doctor has advised physio right now. Will your exercises help me. Can I start them right now. My right leg is very weak still and in a lot of pain . Please help.

    Thanks in advance!

    • Post
      Author

      Thanks for your question Dia. Your X-rays have multiple problems yes but not all of them are likely causing you pain. Without an examination it’s impossible to tell so I cannot tell you which is causing your pain. You should take the advice of your physio. For spondylolisthesis flexion is required, while for disc protrusions extension is required for these posterior protrusions. Many spondylolisthesis are asymptomatic but it may be the cause in your case.

      Only an examination will tell.

      Hope that helps your disc herniation and spondylolisthesis.

      • I am a 64 year old man. I exercise 3 days a week for one and a half hour…30 minutes of cardio, 30 minutes of weights and 30 minutes of stretching and yoga. I hurt my back doing low back extensions…woke up one morning g and could hardly walk. I have seen a chiropractor, xrays negative, four times in the last two weeks and a massage therapist four times as well. My pain is mostly in my left side…upper glute, the “tfl” and on the front near my groin. I have read most of your articles but cannot figure out the best exercises for me. I am still very flexible…can touch my palms on the floor with no pain. Can do single leg and thread the needle stretches with no pain. Can do bird pointer poses with no pain. Cannot do anything that arches my back….cobra or MacKenzie poses. Do you have any recommendations for me? Thank you in advance!

        • Post
          Author

          Thanks for your question Bruce. Unless you felt pain while doing the exercises you can’t tell if extensions actually caused the problem.

          There are three main types of disc herniations. Posterior, Anterior and lateral disc herniations. You can have any of them.

          You need to try the cobra but not in the yoga way for posterior extensions. Start out in the sphinx, Stay there for a few minutes, than go to a cobra position. You want to pump up and down 10-20 times (10 times the first time) staying at the top about 1 sec. This is not the Yoga Cobra these are McKenzie extensions. If after you feel more intense pain or pain going further down into the leg then the extensions are not for you. Than you would need to do flexion in lying.

          Flexion in lying involves first bringing your leg up to your chest. Again you should hold only for a second and do this 10 -20 times.

          Acupuncture can definitely help. It should help within 6 visits.

          Hope that helps your lower back.

  • Hello Doctor.
    I was diagnosed with a ‘minor bulge in L4, L5’ 3 years back. I have been taking care in terms of posture, exercises, etc. Have also been traveling a lot. Though it is a sitting job, I ensure to take a break every 1 hour or so, just not to strain the muscles.
    The problem is simple. It has been 3 years and still no respite from this evergreen pain. The back looks delicate. They say it is ‘stiff’. I am afraid to bend forward. This tricky pain is always there at the lower back.
    Surgery scares me, and I wont go for it.
    Can you pls suggest some exercises which exactly take care of what I need. I have been reading your site, and found a lot of items useful, but I will be glad if you can suggest something specific for L4,L5 strengthening.
    Thanks in advance.
    RS

    • Post
      Author

      Thanks for your question Ravi. Posture and getting up every hour will only help to prevent it getting worse. If you have a posterior disc herniation like the vast majority of people than you can be helped by doing extensions. It means you should do the exercises in this article. If however you have an anterior disc herniation it will not help.

      Hope that helps your disc bulge.

      • Thanks for the reply Doctor.
        Well, I just got the MRI report done and here is the summary:

        1. The protrusion has increased at the L4-5 level.
        2. Posterocentral protrusion with annular tear at L3-4 level indents anterior thecal sac without any significant narrowing.
        3. Broad based posterocentral & left paracentral protrusion at L4-5 level causes moderate central canal & left lateral reces narrowing, compressing bilateral traversing L5 nerve roots.

        The doctor has advised a surgery, which scares me.
        I request your help and direction urgently.

        Rgds
        Ravi

        • Post
          Author

          Thanks for your question Ravi. You should do the exercises in this article as you have a posterior disc herniation or protrusion. If the pain goes further down the leg or is more intense after the exercises than you should stop.

          Hope that helps.

  • very interesting article with the exercises.
    I have an L5/S1 extrusion which was described as “Large and Severe”. Have had 2 ESI’s and intensive PT. While it improved slightly due to steroids, I am a marathon runner and I can not remain like this. The neurosurgeon in October told me he thought I’d heal it, but after looking at me again, noted my foot weakness is not improving. Surgery Scheduled in February (some work issues). Since I pretty much laid around doing nothing but walking in the pool for a month I am severely de-conditoned. Can I do these exercises within pain limits and expect that some of my abdominal strength will return. prior to the injury I was at a 3 minutes plank, and my abs were super strong….kind of a freak occurrence, which I am paying for dearly.

    • Post
      Author

      Thanks for your question Holly the Mizuno Girl. Glad you tried to the ESI or epidural steroid injections. This helps get rid of the inflammation giving it a chance to heal. Next you should try the exercises to see if they help. When doing the exercises you should stop the exercises if they cause pain that is further down the leg or the pain stays more painful for more than 1 minute after doing the exercsises.

      Keep in mind these are generic exercises designed to help most people with the most common type of disc herniations. (posterior or posterior lateral disc herniations) Anterior disc herniations will not be helped by these exercises.

      Hope that helps your disc herniation.

      • Thanks for your reply. Oddly, in the past few days my symptoms have improved, (except the burning in the leg and foot). I have surgery scheduled in 55 days….with a fantasy that if I keep working at it, It might heal completely.
        Have a grand day!

        • Post
          Author

          Thanks for your comment Holly. If you did the exercises then your recovery is likely related to the exercises, since you weren’t doing them before. If you didn’t do the exercises than you still might have slept on your tummy (face-down) and pushed the disc back in. In any case I am happy for you.

          Glad your disc is feeling better.

  • Hi Dr Nakamura,
    I am 20 weeks pregnant and suffered acute lower back pain one month ago. I was admitted into A&E and upon examination and MRI discovered I had a 9mm L5/S1 left paracentral disc bulge with compression on the left exiting nerve root. My left heel and left side of my foot is numb and feels like pins and needles to the touch. I have had complete bed rest for the past month with pain in my lower back, left thigh, left calf and left heel. I have a frame to support my walking and can only take a few steps without the frame. I cannot sit for longer than 5 mins. Can you recommend any safe exercises for my disc for pregnancy? Many thanks, Lucy

    • Post
      Author

      Thanks for your question Lucy. So A & E is a British of the Emergency department or ER.

      It’s questionable if you should of gotten an MRI as we still don’t know the effects on fetuses but it is assumed that it is safer than X-rays. Still they should have diagnosed you based on your history and exam since to be safer for the baby. Since you do have the information at least it does seem to prove useful this time around.

      Second unless you have been recommended complete bed rest by your midwife or obstetrician for the baby’s safety than this is not the correct thing to do. Bed rest beyond two days does more harm for lower back problems and disc problems. I am not just saying this, this is back up by lots of research.

      You should crawl, walk, stand, and sit but keep changing positions. Bed rest will make you worse as it expands the disc up to 72 hours. This means when you stand the disc gets squashed and puts tremendous pressure on your nerve. Thus more pain. Bed rest has not been recommended by doctors for decades for lower back pain.

      At 20 weeks of pregnancy, unless your obstetrician has recommended against it, it is safe to lie prone or face down in your 2nd Trimester. I personally treat many women throughout their pregnancy and they lie face down until full term. However I usually use a doughnut shaped pillow (cut out of a circle). Instead you use cushions around your tummy. Than I would do the cobra exercises. However I would talk to your obstetrician first or your midwife as I don’t know the particulars of your pregnancy.

      Hope that helps your disc herniation.

  • Hi Dr Ken,

    I am 31 yrs old and work as a doctor in ED. I woke with horrendous left thigh pain radiating into my calf and foot a week ago. This is on the background of low back pain and probably too much golfing recently. I think a long 24 hr flight may of broke the camels back. Your back extension exercises have been fabulous and virtually eradicated my leg pain. I think i am on the mend. In terms of returning to activity do you consider golf likely to cause a reoccurrence of the problem? Would you recommend a certain duration to allow optimisation of disc healing? Im pretty sure clinically that its a s1 disc herniation but not confirmed radiologically. Thanks

    • Post
      Author

      Thanks for your question Dr. Owen. I am very happy that your leg pain is virtually gone. First the during the golf swing you first try stand in front of the ball in a flexed position. Second you twist your low back through its full range. Both of these flexion and twisting are known factors to cause a disc herniation. Once the disc herniation is back in place then you are good to go. It can be as short as a week or for some it can take a few months. It’s not such much the healing as it is simply pushing the disc nucleus back in.

      If you did do imaging, remember to keep in mind that 60% of 60 year old aymptomatic people have a disc herniation. So is it a disc herniation causing pain, stenosis or piriformis syndrome. Studies have found no correlation between pain and disc herniations. Glad you diagnosed your disc herniation clinically.

      Hope that helps your disc herniation.

  • Hi Dr Ken,
    just looking for your opinion. I had an MRI and my chiropractor was advised that I have a herniated disc, L5 12 mm, I have pain in my right butt cheek and thigh and sometimes to the back of my knee/calf area..
    this has been going on since july…
    my question is, do you feel that excersise and going to the chiropractor could help. I really do not want to have surgery if it is absolutely necessary…but, I don’t want to wait and not have it done if its going to do permanent damage to my nerve, your opinion is greatly appreciated. thank you

    • Post
      Author

      Thanks for your question Amy. First I assume that you have a herniation that is 12 mm and this is not the diameter of your spinal canal. There is a big difference. If the assumption is correct when the herniations are this big most people do have pain going to their ankle and even into their toes. Lucky you don’t.

      Some exercises can make things worse and you may not realize it. To prevent aggravating your problem you should read this article. https://www.bodiempowerment.com/disc-herniation-part-1/
      The exercises in the present article that you commented on are good for herniations that come out backwards towards spinal cord and your spinal nerves. If not they won’t help. So the question is are you doing the right exercises for your problem. If you have a anterior (forward) or lateral (side) herniation the exercises won’t help or will even make you worse temporarily.

      As for going to a chiropractor and doing exercises. With the wrong exercises you will get nowhere. With the right ones you may get somewhere. Going to a chiropractor in your case may or may not help. If they are one tool chiropractor, not likely. If they use a lot of different tools it is more likely to help. eg. acupuncture, rehab exercises, manipulation, traction….

      With large herniations many people start finding relief as the body starts to dissolve the part of the herniation that is sticking out. This happens with larger disc herniations as larger herniations go outside of the boundaries of the disc. When that stuff acutally ooozes out and “leaks” the body looks at like it is foreign material ( at least that’s what researchers think). Foreign material needs to be taken care of so it attacks it with the white blood cells.

      So your body may help your self but if you have a small herniation none of this stuff will happen.

      Hope that answers your question about disc herniations.

    • Post
      Author

      Thanks for your question Ashik. Good question. This exercise pulls on the nerve and aggravates the sciatic nerve when the disc is herniated. So the answer is no you should not do it as it is harmful.

      Hope that helps your herniated disc.

  • Hi Dr. Ken

    I’m 24 years old and lived a very active lifestyle. My accident was on a treadmill while running at an incline of 7 at speed 7 for about a mile. Since then, for about 6 weeks now I’ve been suffering from sciatica caused by a bulging disc in the l4/l5 and l5/s1. Pain has decreased significantly for I was not able to walk or stand or more than 5-10 min at the very early stages but am now able to sit/stand/walk for longer periods or time. It’s still not as long as I would like since sitting starts to problematic and start to feel aching/pain after about 30 min. I can stand for longer ~an hour but the pain is very inconsistent and sometimes would not be able to stand for that long. And walking is very inconsistent for sometimes I feel very little pain when walking 20 min but sometimes feel pain when walking for 20 min.

    My MRI result taken 11/7 has these findings.
    – At the l4-l5 level: Disc bulge with left paracentral inferiorly migrating disc extrusion is noted causing moderate left lateral recess stenosis with deformity of the left ventral thecal sac. No signifcant foraminal narrowing is present
    – At the l5-s1 level: Mild disc bulge is noted causing mild bilateral foraminal narrowing with small central disc protrusion without canal stenosis.
    The consus is normal shape and position
    There is no prevertebral or paraspinal soft tissue abnormality

    I wanted to attach a picture here for you to reference but I cannot. I would like to email you the picture so you can see what is really wrong. From my research, the diagnosis can be a little different from doctor to doctor and the terminologies used can throw us off. I have read that there is a difference between a disc bulge w/ extrusion vs a herniation w/ extrusion. And that there is also ‘contained’ vs ‘uncontained’ extrusion. Any help would be greatly appreciated. I wish I knew how big the bulge/extrusion is as well. From what you read, do you think surgery is warranted? I desperately do not want to get surgery at such a young age. Do you think the process of reabsorbing the disc material will be faster at a young age? I also have to go back to work soon and am afraid driving everyday back and forth to work will slow down my healing. Please let me know your thoughts. Thank you.

    • Post
      Author

      Thanks for your questions Kevin. Unfortunately even professionals use different terminology and it’s not as standardized as it should be. Strictly speaking though the stages of a disc herniation are disc bulge>>disc protrusion>>disc extrusion (uncontained – or pieces have gone beyond the wall of the annulus)>>disc sequestration (uncontained – but the pieces have broken off from the disc and usually end up in the spinal canal).

      Diagnosis by MRI is not really professional. A diagnosis should be made first and an MRI is used to confirm this. Your doctor should have told you the diagnosis and told you we should do an MRI to confirm this to determine if you should be getting surgery only after doing exercises and rehabiliation.
      Step 1. Diagnosis
      Step 2 Rehab and exercises for your pain
      Step 3 MRI ( MRI should not come before Step 3 as MRI often will show problems and mislead the diagnostically challenged doctor which leads them to say that this the problem. Many times it is not the problem. Research has irrefutably shown that MRI results don’t correlate to pain. eg. 30% of 30 years have disc hernation with no pain.

      In other words I am saying if you have your MRI too early, I would question the motive. 1. financial 2. placating the patient 3. Diagnostically challenged.

      Nevertheless try the exercises in this article first.

      I am trying to make you an informed consumer of health, and get you to question your health care providers and their decisions.

      If you have already been doing rehab and exercises you should disregard the above.

      Hope that helps your possible disc herniation or disc bulge.

  • certainly like your web-site however you have to test the spelling on several of your posts. A number of them are rife with spelling problems and I find it very troublesome to inform the reality nevertheless I’ll certainly come back again.

    • Post
      Author
Dr Ken Nakamura downtown Toronto Chiropractor
img 9195 4 depositphotos bgremover
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.