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.
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?
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
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.
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.
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 …
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 …