L5/S1 disc protrusion treatment options help

[arkesh_physio]

Hi
U are diagnosed with a Posterior herniation & u have a flattened lumbar curvature,
So i think Mckenzie's therapy for Derangement is best suited for you.
Find out the grade of derangement in the book & start the appropriate exercise.

[Laura01]

you can do core exercises until you blue in the face but your therapy needs to address functional things like sitting. Your sitting posture needs to be assessed so that you can learn the optimal posture for your back. the chances are you may never be able to sit for 10 hours a day at the computer but who can? your back is designed to moved therefore you must allow yourself regular breaks when at work where you change position. I wouldn't be jumping into surgery lightly either as it doesn't always help.
developing a fear of movement is very common so your physio should be giving you graded exercise to prevent potential abnormal movement patterns.
consider whether your back is shifted (do you lean a certain way to avoid pain). this can be adaptive- your bodies was of trying to protect the structure or maladaptive- that youve done it for a while and you body forgets wherw it should be in space.
maybe you should get someone on here to recommend a therapist. I would deinately be suspicious of a therapist who hooks you up to machines for therapy and doesn't look at your movement etc.
good luck

[talhaphysio]

assalamualaikum

have u received lumbar traction by any physiotherapist & if yes what did u feel.

[Ashraf M]

Dear All;

Thank you all for your advices - I missed the forum for about one month and half - so please accept my apology -but I did not receive any replies in my mail or mail notification for any reply)

I was seeking a job at my home country - as I decided to stay home to have a better medical and family care and finally I managed to get a good job in these difficult days.

However, there was a very interesting instances I would like to share with you and really need your opinion.

As I have been again into work - slowly - I started to forget the good exercises which I should follow and suddenly the dull and continuous pain in my buttocks returned back - but not very intense.

I immediately booked at one of the top orthopedic surgeons in Egypt who is MD, Prof or Orth. and had been graduated from UK.

He investigated my last MRI - which has been taken in the GULF area - for the coccyx and the pelvic area and directed me to another highly qualified radiology specialist asking for his opinion too.

Later, he informed me that he is quite sure that there is no problem from the structural point of view in my coccyx - and those pains might be of mechanical nature which do not appear in the MRI and the only solution he had is to give a local cortisone injection.

I had the local cortisone injection - Diprofose ( Betamethazone ) - note : this is the second time - after about 6 months from the first to have local cortisone injection.

Surprisingly - things went bad !!! - it did not improve at all !! - more ever as cortisone elevates blood glucose levels very high for me as diabetic person - that caused nerve inflamation and pain in my back area !!!

As I returned back to the doctor (after two weeks ) - he also was surprised but firmly he mentioned: this pain or its source is out of his coverage area and better to seek the diagnosis in a another medical coverage area and to cope with this pain with anti-inflamatory drugs.

I was very disappointed and suddenly I had an idea - why not to use the sitting cusion again - at least - it is a solution - even if it is temporary.

I started to use it and started to cope with it during my work

One day while I was surfing the net - I read an article about a lady had a very severe problem while setting and she visited a lot of medical specialists - till one day she meet with a very clever doctor - who investigated her and mentioned that she had a problem with her pelvic floor muscle and it is stuck ( sorry I do not know what is meant by stuck here !!)

I tried to find more about this pelvic floor muscle and found that it is correlated also with some problems during going to the toilet ( I guess you know what I mean ) - as I had problems in that !!

There was no good advice regarding that just some extensions - I tried to do some of them- and it was very surprising to me that with no anti-infalmatory drugs - no muscle relaxants, no cortisone injection - pain decreased dramatically such that I threw the sitting cusion !!!!

But still I have the back pain from time to time - and still have to put my leg under my thigh.

Oh - sorry - that was a long post - but at the end : does any one know about how to take care of this pelvic floor muscle - and if it is the main cause for the pain in the coccyx area - how to trat it.

One more thing - I learned that the human body is not like an engineering system -

In many instances - You cannot pin point the source of the problem - there might be small diverse things which build up the problem and really it needs a very professional person to investigate and find a suitable cure.

Waiting for your suggestions.

Best Regards

[Ashraf M]

Oh - sorry - as a reply for the question - if I had a traction before ?

No - unfortunately I did not - however due to my last experience I prefer to wait till I see a very professional one in that traction - and as I read on the net - with very good equipmet.

Best Regards