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POSTERO LATERAL DISK HERNIATION

... leans AWAY from the pain

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.

Antalgia - the sign of Pisa

A lumbar disk 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 disc 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 …

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 disk 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 …


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


IMPORTANT CONSIDERATIONS if you have pain in the leg

  • Maigne's syndrome

  • Tingling in the toes

  • Leg pain during pregnancy

  • Upper leg pain: Meralgia Paresthetica

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

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