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POSTERO LATERAL DISK HERNIATION

... leans AWAY from the pain

(Keywords: POSTERO LATERAL DISK HERNIATION, chiropractic, antalgia, 50 percent less pain rule)

POSTERO LATERAL DISK HERNIATION is a serious condition seen every day in the chiropractic clinic. It's bread and butter for the chiropractor, but should NEVER be taken lightly. It will take a minimum of SIX WEEKS TO HEAL. Injure your back again within the six weeks and you are asking for serious trouble, and radiating pain down the leg.









Antalgia - the sign of Pisa



A LUMBAR DISC PROTRUSION / HERNIATION MAY cause an antalgic list to starboard as you can see in the case of this young man. In the case of a Postero Lateral disk herniation you will lean AWAY from the side of pain.

A PL herniation is the more common type, and is less likely to lead to surgery if one follows one thousand cases. But it is a serious condition, that must NEVER be taken lightly. It bites!

Notice how in the picture on the left, that the disc bulge is LATERAL to the nerve root. You will get relief by leaning to the left, pulling the nerve root AWAY from the bulge.



The Rules

  1. Get to your chiropractor quickly. The Postero Lateral Disk herniation is not the time for the wait and see what happens approach, which I usually advocate with pain. One doesn't need to run to the doctor with every cough, nor to the chiropractor with every little pain. But if you have the Sign of Pisa , don't wait.

  2. Stay at home at least until you can stand up straight again for 24 hours. It will take a few days at least, and sometimes a few weeks.

  3. Try very hard not to sneeze or cough. A quick nose blow will usually abort a sneeze.

  4. Immediately start putting an ice compress on your back for 20-30 mins, perhaps alternating with a little heat. At least twice a day. It's also the best painkiller.

  5. Stay out of the bath. Shower only.

  6. Don't sit, not at all, until you are up straight. Perching on the edge of a desk is okay.

  7. Your chiropractor will advocate a rehab program. Make sure you go through with it. Otherwise you will get it again in a few weeks or months.



Leg pain

Postero Lateral disk herniation causes pain that may radiate down your leg. If you are in an antalgic posture, you will be leaning AWAY from the pain.

For details of the pain patterns in the leg, click here: TINGLING IN FEET AND LEGS ...

What is a herniated disc?

A disc consists of two parts, an outer ring of tough fibres, and an inner bubble of gel. In the so-called slipped disc, both the Postero Lateral Disk herniation, the Postero Medial disk herniation and the (Far) Lateral disc herniation the bubble of gel herniates through the tough outer ring. At this link I have described in detail what may be happening in your back. Read more … SLIPPED DISK


A herniated bubble of gel? No, a photograph of the Cat's Eye nebula taken from the Hubble telescope. Beautiful, eh!


50 PERCENT LESS PAIN RULE

The moment you come out of the antalgic posture, the pain decreases dramatically. Now comes the dangerous period: you feel 50 percent less pain but the annulus fibrosis has probably healed by less than 10%. The central gel, the bulging nucleus pulposis has been reduced, so you have much less pain and are standing upright, but now at least six weeks must pass before that tissue has completely healed. Beware... 50 PERCENT LESS PAIN ...

LOWER BACK EXERCISES

I advocate doing a set of VERY GENTLE exercises even when your back is extremely painful. Movement within the joint is what prevents a huge amount of fluid - swelling - from invading the disk. But you do need to be discrete and sensible. You are not out to make the Olympic team! LOWER BACK EXERCISES ...

IMPORTANT CONSIDERATIONS if you have pain in the leg

  • Maignes syndrome is a lumbar facet syndrome, but high in the lower back, not right at the base which is the more usual site. What's confusing is that the pain often radiates to the buttock, groin and front of the thigh.

  • Tingling in the toes may be caused by a MORTONS NEUROMA ... which is a benign irritation of the nerves in the forefoot.

  • Pregnancy too is a time when many women complain of back pain and sometimes there is Leg pain during pregnancy too.

  • The merry devil is upper leg pain or just a numb feeling, usually on the side of the leg, caused a "double crush" syndrome: the nerve is affected in the back AND in the groin where the Lateral Femoral Cutaneous nerve emerges from the pelvis. Meralgia Paresthetica

  • Go from Postero Lateral Disk Herniation to Lower back and Leg pain home page.

  • Go from Postero Lateral Disk Herniation to CHIROPRACTIC HELP home page …

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  • Issue #24 Cold hot therapy / Aloe vera
  • Issue #23 Maintenance Chiropractic Care / Ways to cook salmon
  • Issue #22 Slump Test for sciatica / How to grow radishes
  • Issue #21: Neck Arm pain / Planning the summer vegetable garden
  • Issue #20: 50 percent less pain / Green beans
  • Issue #19: Retirement sentiments / Growing Garbanzo beans
  • Issue #18: Shoulder Pain / A Walk in the Sun
  • Issue #17: Facial Pain / Mussel Facts
  • Issue #16: Obesity in the Chiropractic Clinic / Flax seed
  • Issue #15: Breastbone pain / Broccoli
  • Issue #14: Hip and Groin pain / Statins for lowering cholesterol
  • Issue #13: Can a DC help your Lumbar Facet Syndrome / Strawberries, a wonder food
  • Issue #12: Help Baby Colic Cures 2 / Eggplant for high cholesterol
  • Issue #11: Groin and Thigh Pain / Hummus
  • Issue #10: Friday Fun Stones in my Clog. / Cucumber
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  • Issue #08: Spinal Stenosis/ Celery
  • Issue #07: Root of all Healing / Garbanzo beans /Chickpeas
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  • Issue #04: Whiplash and the Joints of Luschka / Parsley
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    This site is not intended to diagnose, treat, cure, or manage any illness. Please consult your chiropractor.

    The information is to the best of my ability at the time of writing accurate and correct. Queries, comments and corrections are very welcome.

    SBI
    SBI!

    • LOW BACK and LEG PAIN



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    DEGENERATIVE LUMBAR DISC DISEASE CaseFile



    POSTERO LATERAL DISK HERNIATION



    LOWER BACK AND LEG PAIN

    SITTING



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    SLIPPED DISC SYMPTOMS Case File



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    SPONDYLOLYSTHESIS



    EXAMINATION



    SACROILIAC JOINT Case File



    SLUMP TEST



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