Ultimate Guide to Exercises for Lumbar Herniated Disc Relief 2
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:
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
- 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
- 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
- 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
Sir, I am 23 yrs old and I am having l5/s1 disc herniation (posterolaterally)……….I ve pain in the back which spreads to left leg and thigh and buttock. ……..can I do the exercises for disc herniation ….also can I do my regular exercises like push up pull up jump rope and sprinting and jogging…..also for last 1 day I am feeling tingling sensation over my left feet…..pls give your opinion sir
Author
Thanks for your questions Rajkumar.
Yes you should be able to do some of the exercises here. You will know which ones you cannot do if they give you increased pain. Also if they give you increased pain further down the leg then you should not do them.
You can do the push ups, but not jump rope, sprinting and jogging.
Hope that helps your disc herniation.
Ok sir thank you……but what core exercises can I do……then what aerobic exercises can I do sir…….can I do mountain climbers and jumping in the same place
Author
Thanks for your question Rajkumar. Just do the exercises here in this article. There are a lot of exercises here in this article please read it. You should not do other core exercises yet.
The only aerobic exercises you should do are swimming and aqua fit and cycling with the arch maintained. Even those exercises can hurt some people. Mountain climbers and jumping on the spot will certainly hurt you.
Hope that helps your disc herniation.
Hello,
I had a microdiscectomy in August. Would chiropractic be beneficial now or should I wait until Dr clearance?
Author
Thanks for your question Ed. After 8 weeks most people are fine to do chiropractic. When the chiropractor checks you it’s up to the chiropractor to see if there are any contraindications (things that say he shouldn’t treat you), since there can always be exceptions.
If you haven’t already had some rehab exercises you should get some stability exercises from your chiropractor.
Hope that helps.
Hi
today I went to neurosurgeon and he suggested me to do a surgery. but I m afraid of about surgery. what can I do… Plz help me…
Author
Thanks for your question. The criteria for surgery are:
1. disc herniation over 8 mm
2. Worsening neurological problems like drop foot, wasting away of muscles.
3. Bowel and bladder problems associated with your lower back problem.
Doesn’t sound like you meet any of these criteria. You are getting better I would ask the surgeon why they would recommend surgery to a person that has improved so much.
Hope that helps your herniated disc.
Hi
I am Sadia. About 2 and a half months ago I had severe pain in my left leg. MRI report showed that the problem was herniated disk. The report said “Central-bilateral paracentral protrusion of L5-S1 disk with moderate compression of S1 bilateral(left>right) exiting nerve roots.” Then I went to a physiotherapist and he told me to some specific exercises. Now I am doing those exercises regularly and my condition is far better than before. I have no pain in sitting or when I am lying down but I cannot walk more than 15 minutes. Whenever I start walking the pain keeps increasing in my left leg and after a while it spreads into the whole leg but but its not severe as before. Now the pain when I am walking is dull and pinching.
Is it possible to heal this herniated disk fully so I can go back to life I used to be? or will this pain never go away? and what can I do for the leg pain while walking?
Author
Thanks for your question. Try doing these exercises in this article first. Yes you can put the disc back but no you will still have the hole in the disc.The pain should eventually go away.
Hope that helps your herniated disc.
Hi Doctor Ken,
Great site. I’m 30 years old, good shape with no previous back issues. 2 weeks ago, I was shovelling ice in my driveway, and after 5 minutes of coming in the house, my back went out on me. It never hurt while I was shovelling though. At the time, for the first 2 days it hurt to be in the seated position, but next to great when I was standing.
Within a few days, I was able to do most exercises at the gym in my common routine. After going to physio that week, they determined it was a muscle spasm, or something small enough that it was getting significantly better day by day with little pain. 4 days ago, after feeling about 90% back to normal, I went to go warm up the car when I kicked the wheel wells to knock off some ice – it instantly hurt my back on a scale about a 4 or 5/10. I came inside, and once again, about after 5 minutes of kicking the ice, my back went out on my completely. This time. much more intense and painful. All the pain all along has been in my lower back, L4 L5 area.
It is now on the 3rd day and I can stand on my own, still painful to walk normally, upper body is quite crooked to compensate for the more painful side which seems to be the left L4 L5 area, but still pain all around the lower back. Physio said today that they’re thinking it is either a herniated disc, or an inflamed disc.
Is there a difference between an inflamed disc and a herniated disc? Even though the pain is extremely intense, it is weakening day by day, and I’m able to do more and more. I have never had pins and needles from it, it’s never gone through my legs or feet, and has only resided in my lower back.
i would love to hear your thoughts on what it sounds like to you, herniated vs. inflamed etc. and any other insight you would be willing to provide.
Thanks so much!
Matt
Author
Thanks for your question Matt. Sounds like a herniated disc.
While there are many reasons for an inflamed disc such as infection, degeneration, arthritis etc… the most common cause is a disc herniation. When the disc bulges there is usually damage to the annulus, the outer part of the disc.
At this point there can be inflammation but for the most part it can’t be felt as only the outer 1/3 of the discs have nerves. When the disc is damaged significantly more and the inner part of the disc called the nucleus protrudes out like the jelly from a jam doughnut than you can get a lot of inflammation.
So I am saying both inflammation and disc herniation.
There are four stages of disc herniation.
Disc bulge
Disc protrusion
Disc extrusion
Disc sequestration
Your’s is likely a disc bulge as it seems to be going back on it’s own or with a little help from some exercises. Otherwise it would linger longer.
The fact that you are tilted to one side or “antalgic” is another sign of a disc herniation.
Hope that helps your likely disc herniation.
Hello Dr.Ken , Thank you so much for your time, effort and dedication to help people out, You are really appreciated, I have L5 S1 Disc herniation “Central disc extrusion with mild downward migration and moderate canal stenosis at L5-S1”, I’m an athlete and body weight trainer, I’m doing all the exercises I couldn’t move my right leg 8 weeks ago , Now I’m feeling alot better, I have no leg pain , no numbness nothing except pain in the lower back muscles after prolonged sitting, I’m still going on doing the exercises I also swim and use jacuzzi and sometimes do my stretching in water, My question is simply, will I ever be normal again? Will I ever be able to run or lift again? you know just basically live like everyone else ?
Thanks in advanced.
By the way I’m 24.
Author
Thanks for your question. Being normal isn’t necessarily a good thing. There are a lot of people who can’t do many types of exercises. With the exercises this will help put your disc back into place. However the hole in the disc remains as the body can’t heal that. Most people however are able to run and lift. If you mean lifting heavy weights especially with squats, dead lifts and power cleans then you run the risk of re-injury. All the people that do the very heavy weights in 300+ lbs or 140 Kg + that I know have bad backs.
You should however be able to do most body weight activities.
Hope that helps.
Mostly, from my hips the pain goes from my leg , and my butt has been comed upward , and by tight i am walking like a duck . First of all i want to improve my walking . So which of the exercise you reccomended
Author
Thanks for your question Rushikesh. From your three comments you still don’t give very little information but from what you gave me it sounds like a disc herniation. You should do the exercises in this article. You should stop the exercises if the exercises give you increased pain or you have increased symptoms down the leg.
Hope that helps your disc herniation.
According to MRI :- L3-4 posterior board protrusion compressing the thecal sac and L4 nerve roots, witch encroachment of the neutral foramina , indenting the L3 nerve roots. Posterior board protrusion of L4-5 disc compressing the thecal sac and encroaching the neural foramina ,indenting the L4 nerve root .
For
Author
Thanks for your Rushikesh. Giving me your partial MRI only tells me what your MRI says. Many people with no back pain or leg pain of any kind have disc herniations many even worse than you.
You also don’t ask a question. So I can’t give an answer.
Doctor my MRI report shows 1) diffuse posterior bulge with annular tear of l4-5 disc indenting the thecalsac mild facetal arthropatty is seen at this level. 2) diffuse posterior bulge with moderate sized left paracentral profusion of l5-S1 discompressing the thecalsac left budding nerve root please suggest what exercise I should do
Author
Thanks for your question Prasanna. Looks like you should do these exercises and read the article. If the get more pain with the exercises or increases symptoms down the leg you should stop the exercises.
Hope that helps your disc herniation.
I am having L3 and L4 protrution at inner side , what kind of exercise should i do.
Author
Thanks for your question Rushikesh. You need to provide more information like what kind of symptoms you have and more details of the MRI. Just because you have a MRI that says you have a protrusion doesn’t mean that is what is causing your pain. Your symptoms might not match your MRI. Then your diagnosis would be in doubt. You don’t make a diagnosis by MRI you make a diagnosis with a careful history and examination. The MRI is just a bonus that confirms what you already knew.
Diagnosis by MRI goes on all around the world. It’s a big problem.
Respected Sir,
i am having a problem in L5-s1 in lumbar area. Should i do this exercises .
the mri show that low inferior migration of 5mm . reply as soon as possible i shall be ver thankful to you.
Author
Thanks for your question Bhagat. A migration can be tricky and you will have to watch out to see if you are getting worse. You will know that you are worse if your pain is worse after the exercises or if any symptoms such as numbness, tingling or pins and needles goes further down your leg.
So, try the exercises but be aware of what is happening to you. If you get worse stop the execises.
Hope that helps your possible disc herniation.
Hi Dr. Ken,
I was trying to so find expert research for a friend of mine who is in a lot of pain and I ran into your site and I was happily amazed by the help you are providing to fellow humans with great help in alleviating their pain that is preventing them for enjoying life. A big thank you for your time, expertise, dedication and willing to help. You are a good soul!
Stay in touch
Domenico Meschino
Author
You are welcome Domenico. The exercises are designed to help most people with a normal type of disc herniation. A normal disc herniation is a posterior or posterior lateral disc herniation.
Very happy that you find the site useful.
Hope that helps your friend.
Dear Doc,
I am Satish, (male, 22 years old). I’ve a mild bulge in the L5-S1 area.
Is it mandatory to take up ‘ultrasound therapy’ before commencing the physiotherapy exercises or I can proceed with the exercises right away without ultrasound. Is there going to be any difference?
Either way, can I lose the bulge completely with regular exercise? Because, I’m told that with regular exercise you will be able to only keep the pain under check but not make the bulge disappear. Is that true.
Thanks in advance
Author
Thanks for your question Satish. First ultrasound has been found to be not effective in research studies. However most of the research doesn’t categorize people so they may be getting the wrong result.
The answer is you don’t need ultrasound therapy before or after the exercises. The exercises are recommended by myself so I would personally call them chiropractic or simply rehabilitation exercises.
You can reverse the bulge but it can easily come back if you lift improperly.
Hope that helps your herniated disc.
Sir
Plz help me
Some exercises
There is diffuse posterior disc bulge with posterocentrol protrusion at L4-L5 level indenting the thecal sac and causing narrowing bilateral neural foramina resulting in impingement on bilateral traversing nerve roots
Author
Thanks for your comment for help Sachin. I don’t know that the MRI is results is what is causing your pain. Many doctors treat the MRI and not the person which is a big problem. What I mean is that if you take 100 people who have no pain and give them an MRI 30% of the 30 years old have a disc herniation. Remember these people have absolutely no pain.
If your pain is coming from your disc than you should read this article carefully and other related links I have on this article and do the exercises.
Hope that helps your possible disc hernination.
There is diffuse posterior disc bulge with posterocentrol protrusion at L4-L5 level indenting the thecal sac and causing narrowing bilateral neural foramina resulting in impingement on bilateral traversing nerve roots
Thanks again! For putting my mind at ease.
Author
You are welcome Pauline.
Arghh I need your advice just found this article
The Plank is the final worst abs exercise if you have a bad back. (It has many derivative exercises using the Fit ball). The effect of the plank is totally compressing, in the way you can pick up a horizontal line of books if you press in hard enough at either end. Press ups do similar things to the spine.
Is this right? or is the plank safe? Thanks for your advice!
Author
Thanks for your question Pauline. If you have acute low back pain the plank would be painful as you would be activating the lower back muscles as well the abs. Rest assured that is an opinion without research to back it up. If there is research to back it up I haven’t seen it.
World renown researcher Stuart McGill PhD, actually tested how much pressure by actually putting sensors into the muscles of people with various exercises. He recommends the plank as a safe exercises based on his reserach. I highly doubt that the author that claims the plank is the worst exercise, can back it up.
Don’t believe everything you read on the internet.
hello Dr. ken …. I am karan, male, 30, height.5-9, weight 69 kg
I am suffering lower back pain since last 4 months, I
work as field engineer and need to traveling in bus or train.
4 months before my pain goes to worst, mainly the
pains are in my lower back right side and pain goes in to my right bowl and also stretching my nerves when I walk and sit for most then one hour I have started pain in my lower back and stretching my nerves and also feel pain in my bowl. .I took MRI SCAN , I
will explain the scan report here.
Here I am sharing my MRI Lumbar spine scanning
report…….. l5-S1 intervertebral disc show reduced T2 signal intensity with posterior annular tear with diffuse disc bulge causing Central thecal indentation with narrowing of both neural foramina ( left > right ) without obvious extrinsic compression on exiting nerve roots ….. rest lumber intervertebral discs are normal in morphology and signal intensity. posterior elements including ligamentum flava and facetal joints are normal. ligament slave appear normal at all level. paraspinal muscles are normal on either side, no obvious T2 hyperintense collection noted. IMPRESSION:- – MRI findings reveals lumber spondylosis with l5-S1 intervertebral disc show reduced T2 signal intensity with posterior annular tear with diffuse disc bulge causing Central thecal indentation with narrowing of both neural foramina ( left > right ) without obvious extrinsic compression on exiting nerve roots …..
Doctors Please Help, Thanks In Advance
Author
Thanks for your question Karan. I assume when you say “bowl” you mean buttock. If that is correct than you should try the exercises here in this article. If the exercises give you increased pain or increase symptoms further down into the buttock or thigh than you should stop.
If you mean bowel and it is affecting your bowel and bladder function than you should seek out care from your medical doctor immediately as the problem is getting worse.
Hope that helps.
This is the most profound website I ever came across for dealing with disc herniation. Well I am 28y F, I was detected with disc prolapse in 2007 and with time and Ayurveda treatment it did subside and now about 2.5 months ago the sciatic pain on my left limb is back with a bang. I even had to drop my job. My MRI report says A) L4-L5 interspace reveals diffuse annular bulge desiccation with a focal central protrusion indenting the dural sac. Resultant relative canal stenosis is seen. B) L5-S1 also shows similar deicaation and diffuse bulge of discwith large central and left paracentral herniation compressing the dural sacand the left S1 root. C) Varying degree of flaval hypertrophywith canal stenosis L4-L5 & L5-S1 interspaces.
I am facing difficulty to sit for more than 15 minutes and my back stiffens up making me rigid. The pain originates in my left buttock and is intolerable most of the time which radiates till feet. Resting my back on bed is the only way to get relaxed. Back of my left thigh and beneath my left feet I feel continuous numbness. I want to take up job again which would be a sitting job (8am-5pm) but my pain doesnt allow me to. Please help me find a way out. Any exercises or tips that I can take up if I join work. Any sleeping positions if can be suggested which would improve my current condition. I have been doing the prone and sphinx pose as suggested by you since few days. Though nothing has improved but no negative or aggravating signs too-so I am just continuing them. Please help me Ken !!!!!
Thanks in advance…
Author
Thanks for your question Nishi. The pressure in your spine is sounds substantial. You need to try and get to the Cobra exercises but in the way that I describe. Not the Yoga style. If the pain gets worse or the symptoms in the leg such as numbness, tingling or pain go further down the leg you are making things worse and the exercises are not for you for the time being.
Hope that helps your disc herniation.
Hi been told my hamstrings are really tight and need to be stretched daily, I do them on my back with leg in the air, however I get tingly feeling in foot when I do them, is this ok? Would you reckon mend to stop stretching them or is there a safer way to do it? Also does the tingling mean it’s putting stress on my lower disc. thanks.
Author
Thanks for your questions Pauline. Your instincts are correct, if you are getting tingling it is putting pressure on your disc which is pinching your nerve. You don’t need to stretch your hamstrings. You stretch them at your peril.
Hope that helps your disc herniation.