Herniated Disc

Lower Back Pain?

Presentation

  • Low back pain, usually affecting one side, accentuated by movement.
  • May be associated with pain, numbness or weakness in the leg.
  • Possible incontinence problem if the marrow is affected.
  • Spasm of the back musculature possible.
  • Pain aggravated by effort, sneezing or coughing.
  • Without appropriate treatment, this condition can develop into a chronic and recurring problem.

Causes

  • The disc is a soft structure that acts as an intervertebral pad. Round shaped, it consists of a gelatinous substance surrounded by resistant ligaments. Due to weakness and cracking of the ligament ring, occurring gradually or suddenly, the nucleus can infiltrate and exert pressure on the surrounding structure, including the spinal cord and nerves (98% L4-L5 -S1).
  • Accumulated trauma in the lower back, often associated with an innocuous movement.
  • It often follows a minor incident in flexion or torsion, for example: tying his shoes or picking up something on the floor.
  • Poor technique in prolonged sitting or when lifting a load.
  • Often a history of lumbar pain.
  • Family history of lower back pain or disc problems.
  • Underlying conditions affecting the back (eg spondylolysis)
  • Back surgeries in the past.

Prevention

A healthy lifestyle

Exercise regularly and warm up before starting physical activity. This is the best way to maintain the strength and flexibility of the back. Pay special attention to the muscles of the abdomen and back, which supports the spine.

Maintain a healthy weight or lose weight if you are overweight.

To reserve moments of relaxation.

Good posture

Stay conscious of their posture at all times. His back is straight, his eyes straight, his shoulders back.

To lift a heavy object, do not tilt the torso forward and avoid torsional movements. Crouch down by bending your knees while keeping your back straight, and stand up holding the object close to your body.

To shovel snow, keep your back as straight as possible. To do this, place your hand near the metal plate, bend your knees to pick up the snow, use the knee as a lever when the load is heavy and avoid twisting the back when shoveling snow.

Treatments

Initial Treatment

  • Control of pain and inflammation using neurocryotherapy and kinesio taping, anti-inflammatory, muscle relaxants or analgesics.
  • Rest and ice (20 minutes / 2 hours)

Conservative treatment

  • Vertebral manipulation and traction.
  • Soft tissue work (Active Release Techniques and Graston)
  • Exercises

Drastic treatment

Surgery; Varies from one person to another.

Prognosis

This condition is usually treated in 6 weeks with appropriate preservative treatments (80% improves in 6 weeks). On the other hand, waiting several weeks before treatment begins, the treatment may be longer and the patient may have sequelae (persistent pain, recurrence, etc.).

WARNING ! If numbness or weakness in the arm is accentuated or incontinence problems occur, consult your doctor immediately.