Absolute Best Exercises for Disc Herniation, #PIVD & #Sciatica Pain- #Mckenzie #Extension Approach

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DrRavi beautifully explained about disc herniation and why extension exercises are good for disc bulge. A herniated disk refers to a problem with one of the rubbery cushions (disks) that sit between the individual bones (vertebrae) that stack to make your spine.

A spinal disk has a soft, jellylike center (nucleus) encased in a tougher, rubbery exterior (annulus). Sometimes called a slipped disk or a ruptured disk, a herniated disk occurs when some of the nucleus pushes out through a tear in the annulus.

A herniated disk, which can occur in any part of the spine, can irritate a nearby nerve. Depending on where the herniated disk is, it can result in pain, numbness or weakness in an arm or leg.

Most herniated disks occur in the lower back, although they can also occur in the neck. Signs and symptoms depend on where the disk is situated and whether the disk is pressing on a nerve. They usually affect one side of the body.

Arm or leg pain. If your herniated disk is in your lower back, you'll typically feel the most pain in your buttocks, thigh and calf. You might have pain in part of the foot, as well. If your herniated disk is in your neck, you'll typically feel the most pain in your shoulder and arm. This pain might shoot into your arm or leg when you cough, sneeze or move into certain positions. Pain is often described as sharp or burning.
Numbness or tingling. People who have a herniated disk often have radiating numbness or tingling in the body part served by the affected nerves.
Weakness. Muscles served by the affected nerves tend to weaken. This can cause you to stumble, or affect your ability to lift or hold items.
Causes
Disk herniation is most often the result of a gradual, aging-related wear and tear called disk degeneration. As you age, your disks become less flexible and more prone to tearing or rupturing with even a minor strain or twist.

Most people can't pinpoint the cause of their herniated disk. Sometimes, using your back muscles instead of your leg and thigh muscles to lift heavy objects can lead to a herniated disk, as can twisting and turning while lifting. Rarely, a traumatic event such as a fall or a blow to the back is the cause.

Risk factors
Factors that can increase your risk of a herniated disk include:

Weight. Excess body weight causes extra stress on the disks in your lower back.
Occupation. People with physically demanding jobs have a greater risk of back problems. Repetitive lifting, pulling, pushing, bending sideways and twisting also can increase your risk of a herniated disk.
Genetics. Some people inherit a predisposition to developing a herniated disk.
Smoking. It's thought that smoking lessens the oxygen supply to the disk, causing it to break down more quickly.
Lumbar extension exercises have been used for the treatment of lumbar disk herniation since 1981. Robin McKenzie, a physical therapist in New Zealand, stumbled on this methodology by accident, but it since has been widely researched and accepted as a treatment option. In theory, if a patient has a posterior herniation, the gel-like nucleus has pushed backward. Repeated extension, or backward, movements should physically push the nucleus back to the center of the disk and allow the annuls to heal and scar over. The ultimate goal of repeated extension is centralization of symptoms. In other words, pain that once traveled down the leg to the foot should regress to the thigh, buttocks or low back.

#DrRavi #primerehab #backextensionexercises #discherniation #discbulge
#sciatica #lowbackpainexercises #bestexercisesforlowbackpain #pivd