Question

My mri scan show this what should I do?
Mild diffuse asymmetrical disc bulge with small posture-central disc protrusion noted at l5-s1 level indenting the anterior thecal sac, however, no significant spinal canal stenosis or radiculopathy seen.

Dr.Julie Mercy J David · Accepted Answer

Herniated disc
1. Spinal decompression
how it helps – spinal decompression should be the very first thing you do to treat a herniated or bulging disc because it essentially creates space between your vertebrae, and thus takes pressure off the discs.
How to do it
– use a bar or the top of a door (or anything you can hang from) and allow your body to “just hang”.
– hang for 30 seconds and do 3 sets.
– release very slowly from this so as not to cause any spasms.
** this should not cause any pain. If you feel pain during it is not a good one for you. In that case, stop and try some of the other exercises below instead.
2. Standing extension
how it helps – this standing extension helps reverse what you do on a daily basis (hunching)… since most bulging discs and herniated discs are caused by poor posture and repeated flexion of the spine (esp bending fwd in bad posture), this stretch helps push the disc back to neutral position.
How to do it
– begin this exercise by standing up with good posture. Now take both hands and place them on both sides of your lower back. Now with the help of your hands push your pelvis forward and extend your spine back. Follow the extension with your neck so that you end up facing the ceiling.
– start with 10 repetitions and do 2-3 sets.
– this one is particularly great to do when you need a break from sitting at your desk.
** this should not cause any pain. If you feel pain during it is not a good one for you. In that case, stop and try some of the other exercises below instead.
3. Half cobra pose (prone lumbar extension)
how it helps – the half cobra stretch helps to push the disc material back towards the center of the inter-vertebral disc to allow for improved healing. The goal of repeated lower back extension is the “centralization of symptoms”, which basically means pain that travels down the affected leg to the foot should come back up closer to the low back – which will in turn alleviate the pain.
How to do it
– begin this exercise by lying on your stomach (prone position) and slowly prop yourself up on your elbows while keeping your hips in contact with the floor.
– hold the prop-up position for 10-15 seconds before returning to the prone position (lying face down).
– gradually increase to holding the end position for 30 seconds. Aim for 10 repetitions of this stretch.
** initially, you may not be able to tolerate this position very well, so make sure you start slowly and carefully. If there’s any pain, try a different exercise instead.
4. Full cobra pose (advanced extension)
how it helps – this stretch is based on the same principle as the half cobra pose above. This advanced extension helps to push disc material back towards the center of the intervertebral disc, with the goal of alleviating pain symptoms.
How to do it
– once you’ve mastered the half cobra pose, you can increase the difficulty by moving to the advanced version of this stretch. Begin this exercise by lying on your stomach in the prone position (lying facing down) and slowly press up on your hands while keeping your pelvis in contact with the floor and lower back relaxed.
– hold the prop-up position for 10 seconds. Aim for 10 repetitions of this stretch.
– eventually try to hold this pose for longer if it feels good (20-30 seconds).
** if you feel pain during this exercise, it is not a good one for you. In that case, stop and try some of the other exercises instead.
5. Cat-cow
how it helps – this is one of the most popular herniated disc exercises. By combining two yoga poses, the cat-cow stretch can help to relieve pressure on the herniated disc by opening the intervertebral disc space. It also improves mobility of the spine, which may help to relieve disc herniation pain and speed recovery.
How to do it
– begin this stretch on your hands and knees. Inhale and let your stomach “drop” towards the floor as you look up towards the ceiling.
– follow this by exhaling and slowly rounding your spine while pressing into the floor with your hands and slightly curving your neck to look at your feet.
– aim for 10 repetitions of this stretch and do 2-3 sets.
How it helps – this exercise will help strengthen and stabilize your lower back and deep spine muscles. This will help you to maintain a good posture and avoid future episodes of herniated discs.
How to do it:
– begin on your hands and knees with your hands positioned under your shoulders and knees positioned under your hips.
– raise your left arm and reach it forwards until it is aligned with your torso; at the same time, kick your right leg backwards until is it aligned with your torso.
– hold this position for 2-3 seconds before slowly returning to the starting position.
– repeat with your right arm and left leg.
– alternate sides for 10 repetitions and do 2-3 sets.
** ensure that your head, neck, and back maintain a neutral alignment to minimize stress on your neck.
6.plank:
how it helps – just like the bird dog, this “core” exercise will help bring your pelvis into right position by strengthening the deep spinal muscles and glutes (butt muscles).
How to do it
– begin lying on your stomach with your forearms against the mat.
– engage your core and lift your body so that you are resting on your forearms and toes.
– start with 10 second holds and work up to 30 second holds, do 2-3 sets.
** ensure to keep your back straight throughout the entire exercise – spine in neutral position.
Thoracic expansion
if you’re using a chair, sit facing forward and allow your upper body to fall over the back of the chair. Extend your arms above your head for a deeper stretch.
Hold either position for 10 seconds and release. Repeat 3 times.
7.sitting spinal stretch
sciatica pain is triggered when vertebrae in the spine compress. This stretch helps create space in the spine to relieve pressure on the sciatic nerve.
1.sit on the ground with your legs extended straight out with your feet flexed upward.
2.bend your right knee and place your foot flat on the floor on the outside of your opposite knee.
3.place your left elbow on the outside of your right knee to help you gently turn your body toward the right.
4.hold for 30 seconds and repeat three times, then switch sides.
8. Standing hamstring stretch
this stretch can help ease pain and tightness in the hamstring caused by sciatica.
1.place your right foot on an elevated surface at or below your hip level. This could be a chair, ottoman, or step on a staircase. Flex your foot so your toes and leg are straight. If your knee tends to hyperextend, keep a slight bend in it.
2.bend your body forward slightly toward your foot. The further you go, the deeper the stretch. Do not push so far that you feel pain.
3.release the hip of your raised leg downward as opposed to lifting it up. If you need help easing your hip down, loop a yoga strap or long exercise band over your right thigh and under your left foot.
4.hold for at least 30 seconds, and then repeat on the other sideif you have low back pain and sciatica you can undergo intermittent pelvic traction where in your half of your body weight will be added in the electronic traction so that that would help you to reduce the pain, along with interferential therapy stimulations which would help you to get relieved from the radiating pain.
9.anterior pelvic tilt
1.lie on the back with the knees bent and feet flat on the floor, hip-width apart.
2.squeeze the buttocks and tilt the pelvis upward.
3.the back should feel as though it is flattening to the ground. 4.return to normal pelvis position.
5.repeat 10–12 times.
Apply ice for the pain to get subsided immediately.
If you cannot go immediately for the physiotherapy treatment. Ice can be kept in the low back where you have back pain. It is suggestible to wear lumbo sacral belt which would help you to build the abdominal muscle tone which itself would make you feel better. You can also wear mcr chappals which would help you to have less weight falling in the painful back.
U have to take vitamin d rich foods. Likemilk, cheese, yogurt, brocoli, spinach. U need calcium consumption for increase the bone density.
Lackof bone and bones crush inside the body
vitamin d intake via supplements or exposure to low levels of sunlight. Vitamin d is used to absorb calcium in the bone and regulate calcium in the blood.this might be due to low calcium or vitamin d which has more impact on the bone density and also it makes one to feel that there is lack of bone strength or in a way the bones are brittle and almost breaking and they feel it is crushed in a way there are many bones breaking at the same time. You have to take vitamin d rich foods. Likemilk, cheese, yogurt, brocoli, spinach. U need calcium consumption for increase the bone density.

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