Ask a PT

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Posted - 04/11/2007 :  17:23:59  Show Profile  Reply with Quote
Our user asked: "I had a MRI recently and showed a herniated l4-l5 disc and bulging at l3-l4 and l2-l3, are there any exercises I can do to "pop" this back. So far the abd exercises are making the pain go away for several days at a time but I think there might be more variety needed."

Ask a PT Response: "With a bulging disc you will not be able to "pop" your back back in. A bulging disc is the result of a weak area along the ligaments that run up your spinal column either anteriorly, posteriorly or laterally (to the sides). When there is a weak area of the ligament(s) the discs which are filled with a semi fluid like material can protrude and herniate. The best course to help expedite your healing process and prevent future injury is to take caution with your posture, both at rest and with activity. That means good posture with sitting and no bending or twisting through the low back with lifting. I can't tell you how many times an individual will injure his or her back as a result of poor
posture and lifting mechanics. For an individual with a herniated disc therapists can develop a treatment plan which includes and is not limited to strengthening, core stabilization (back & abs), postural training, fucntional training, stretching, range of motion, soft tissue mobilization/manual therapy, modalities and patient education. It seems like you are somewhat on the right track with performing your abdominal strengthening. At this time, however, I would recommend you consult with a physical therapist for at least one visit who could evaluate you further and determine the proper exercises for yourself given your situation. At least then you will have a more individualized home exercise program. Thank you for using CyberPT.