Keywords; postero lateral disk herniation, chiropractic, antalgia, 50 percent less pain rule.
This 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 that period and you are asking for serious trouble, and the likelihood of radiating pain down the leg.
A lumbar disc protrusion herniation may, but not necessarily, 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, should you go into this antalgia, you will lean away from the side of pain.
A scoliosis is a permanent twist in the spine, but an antalgia is temporary; you wake up one morning with severe lower back pain and find yourself looking like the leaning tower of Pisa. After the disc has been reduced you will again stand up straight as normal.
A postero lateral herniation is the more common type, and is less likely to lead to surgery five percent of the time if one follows one thousand cases. But it is a serious condition, that must never be taken lightly; it bites.
I had an interesting case last week with radiating pain down the leg; I reluctantly suggested they cancel the long drive to Spain for the summer holiday, or she should fly; sitting must be avoided as it increases the pressure in the disc twelve times. They chose to go ahead with it; this week I'll find out how she made out.
An antalgic posture is commonly a feature of the postero lateral disk herniation.
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 right, pulling the nerve root AWAY from the bulge.
Leaning towards? Or away from the pain? Or, just struck straight forwards, unable to straighten up?
Chiropractic is the treatment of choice in my book for the postero lateral disk herniation; but we must be full conscious of the fact that only fools rush in where angels fear to tread.
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.
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 painful leg.
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 in a slipped disc? No, a photograph of the Cat's Eye nebula taken from the Hubble telescope. Beautiful, eh!
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!
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!
Important considerations if you have pain in the leg
ARE YOU WRITING ON A CELLPHONE? STOP RIGHT NOW BECAUSE I DON'T ANSWER NOT SO SMART CELLPHONE GRAMMAR.
I receive many questions about Chiropractic. It might be help with a spinal condition, but it might also be from a person who can't walk after a hip operation, or some such thing.
I will do that by answering your questions personally, but it will be converted to a Web Page so others can benefit from your questions. Omit your name if you like.
However, do understand that, in the main, I'm going to be directing you, should it be pertinent, to a Chiropractor in your neck of the woods. I'll respond to all reasonable inquiries, but please be specific, and give as much detail as you can.
Stop! Are you about to write on a not so smartphone? Don't. The chances are good you are wasting your time and won't get a reply.
Google has taken a very strong stand against webpages with poor grammar. Please don't use capitals, dots, hyphens and brackets. Don't write from your smartphone because I simply don't have the time to correct your grammar, and won't answer.
There is no charge for this service, however if you find my answer useful, you might like to consider purchasing my latest book, Stones in my Clog. Gems, both funny and healthful, from the life and work of a Chiropractor. It's only $2.99. http://www.bernard-preston.com/Stones-in-my-Clog.html
Pose Me A Question! Pretty please, in decent grammar and spelling.
I will never give or sell your email address to anyone.
Do understand that lower back pain is extremely complex, so I can only give general guidelines. There's no substitute for a careful thorough chiropractic examination.
Click below to see contributions from other visitors.
If you find my answer useful, please ask friends to grade it.
Unable to stand upright
I am 29 y/o, have a 'very large' disk herniation L4/L5 with sciatica for at least a year and half, Was leaning to the opposite side like tower of Pisa …
lower back pain
Hello doctor, I am a 26 year old female in relatively good health. For much of my life I was significantly over weight but for at least 4 years I have …
lower lumbar clicks and cricks when I turn or carry weight, now sciatica symptoms
I have had cricking and clicking in my lower back for several years. No pain, just that I know it isn't right and I am trying to fix it before it gets …
Sciatic pain and the leaning tower of Pisa Not rated yet
I bent over to pick something up and injured my back. As time went on my lower back got more painful. I went to the doctor and had an MRI; it showed that …
Lower back pain and antalgic lean Not rated yet
Hi, about 10 years ago, I was in a car accident. I was diagnosed with herniated and bulging discs in my lower back and neck. No surgery was done, only …
Pain in the upper buttock with difficulty urinating Not rated yet
I have degenerative disease of the spine L3 L4. Two days ago I bent over to put my shorts on when my lower back made a loud crack. So loud my partner heard …
Lower back pain and problems standing up straight Not rated yet
I was diagnosed with pretty significant scoliosis in 1996 at the age of 16. At that time my worst curve was already 58 degrees so we opted for surgery …
Femoral Nerve Damage Not rated yet
Chiropractic Help homepage » Slipped disc rules » Femoral Nerve Damage Dear Dr. Preston, I am fairly certain I have some sort of …
Numbness in outer toes. Not rated yet
Chiropractic Help homepage » Help for sciatica pain » Numbness in outer toes Hello, I've suffered with low back pain for 2 - …
Sharp pain in mid-left back, and dull pain + occasional sharp pain in lower left back Not rated yet
Hi, First, thank you for your time. Your opinion means a lot to me. I am an aid worker with a very low salary and no medical insurance (I live in a …
Pain down my L glute area all the way down to my ankle. Not rated yet
Chiropractic Help » Slipped disc symptoms » Pain down my L glute area all the way down to my ankle. For the past 3 months I have been experiencing …
Sharp Low Back Pain Limited to That Region Not rated yet
I slipped down our limestone stairs and fell straight on the left side of my lower back region. I can't stand up and must be careful not to sneeze, blow …
leg pain not helped by operation Not rated yet
leg pain not helped by operation Hi I'm 46 years old relatively healthy and not over weight; I recently had a discectomy on 04/12/2014 on my S1 …
tingling in right foot and calf and sharp pain behind my knee. Not rated yet
I am definitely leaning away from the pain. I cannot stand up straight or my buttock tightens and becomes very painful.So I am leaning away from the pain …
Sensation Not rated yet
I sprained my lower back 2 weeks before tournament. During the course of the tournament, bruised my hip an pulled my groin. Five days later, there was …