POSTERO MEDIAL DISK HERNIATION
Leaning TOWARDS the side of pain
(Keywords: POSTERO MEDIAL DISK HERNIATION, chiropractic, antalgia, 50 percent less pain, lower back and leg pain)POSTERO MEDIAL DISK HERNIATION (PM) is an enigma - it's easier to treat chiropractically, it responds much faster than its cousin the Postero Lateral disc, but it still takes 6-8 weeks to heal. But more PM discs end up in surgery because the pain often goes away after a few treatments, so the patient resumes normal living, bending, sitting etc, before the disc has healed, and perhaps ignoring the rehab program. So, it happens again. And again. And then ultimately s/he goes under the knife. Notice here that our friend is leaning TOWARDS the side of pain. Easy come, easy go. Or, more to the point, easy go, easy come right back with a vengeance. The pain may be gone in a few days, but it still takes at least 6 weeks with Chiropractic treatment, and perhaps longer if you've had pain for some time, for the disc to heal. It's vital that you follow these
Slipped Disc Rules
if you want to escape the knife.

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Notice how the bulge (in the picture below) is in the 'armpit', MEDIAL to the nerve. Now our friend gets relief by leaning TOWARDS the painful side. To the RIGHT. In short, with a Postero medial disk herniation you get relief by leaning TOWARDS the side of pain. Remember, not all disc bulges go into an antalic posture; it is in my book however, a very serious sign, often the prelude to pain down the leg if those slipped disc rules are not taken seriously.

Sitting, in an ordinary chair, straighten your leg on the painful side parallel to the ground. It probably hurts, in the back, and perhaps in the same leg. This is the first phase of the Slump test for sciatica...Now straighten the opposite leg. With the Postero Medial Disk Herniation, straightening the opposite leg often, though not always, hurts even more - on the opposite side. Usually in the back on the opposite side of the back. If it hurts in your opposite leg, then it is considerably more complicated. You will need to go to bed, and be patient. This isn't going to get better quickly.
Bizarre
One of the characteristics of the Postero medial disk herniation is that it tends to flip-flop. One day you are leaning towards the painful side. The next day away from the painful side. It's what makes this type more difficult to manage. Your chiropractor will have to be on his/her toes. And so will you.
Home treatment
Different doctors will have different opinions, but my advice with regard to the Postero medial Disk herniation is: - Go to bed until you can stand up straight. It's usually a few days, depending on how long you've been looking like Pisa. Not continous bed rest, that's a NO-NO.
- Do some specific exercises that your chiropractor will prescribe for you. Do them every hour, more often if you want.
- Ice your back twice a day (or more, it's the best painkiller too), followed by a little warm, moist heat. A shower, a hot water bottle.
- Every hour (roughly, there's nothing magical about 60 mins- shall we say regularly?) get up and walk around. Go to the loo ... perch on the edge of a desk for a bit, but don't sit. When your back starts talking to you, go and lie down again.
- Please don't cough or sneeze. Blowing your nose will often stop a sneeze. Quickly! don't delay.
- Follow your chiropractor's instructions to the T. This is a serious condition. Research shows that a higher percentage of patients with PM discs end up in surgery. I believe that is simply because they aren't prepared to, or don't understand that they must wait out the six weeks before playing silly buggers again.
- Follow your chiropractor's rehab program ernestly. Please, take it seriously, then everyone ends up happy.
- Don't sit for several days, and then as little as possible until you are much better. Sitting dramatically increases the pressure in the disc. DON'T SIT initially, and then for graded periods only!
- Do not bend over if you have to pick something up off the floor. Go down on ONE knee. Don't squat. Absolutely don't bend and twist simultaneously.
- Some new research shows that Lumbar belts (corset) help patients with LBP in regards to pain and function. Wear a belt for a week or two, especially if you simply have to go back to work. Try not to wear it all day. Lie down periodically during the day for five minutes and do the exercises.
- Say your prayers and take your Postero Medial Disk Herniation seriously. The pain will probably go away quite quickly, but ... it comes back quickly too, if you aren't sensible. Believe me, I've been a chiropractor for thirty years.
Daily Exercise Routine Absolutely nothing is more important that a DER if you suffer from chronic back pain. You will be able to identify here with Matt's struggle with his back. How construction work was the cause, but office work and long hours driving even worse. Read more about his daily exercise routine at
MyStory ...
From the coal face
Anecdotes on health care abound, and let's be quite clear: scientifically they have no value whatsoever. Having said this, you may find this anecdote on a severe Postero-Medial slipped disc interesting. This man had severe leg pain with a compromised motor nerve preventing him from raising his heel from the ground.
Click here and scroll down to 18-03-2009 … SHORT ANECDOTE
50 PERCENT LESS PAIN
POSTERO MEDIAL DISK HERNIATION
Once your chiropractor has reduced the displaced disk you will stand upright and there will be a dramatic relief of pain. But it WILL take 6 weeks to heal, perhaps longer. Do yourself a favour and go through the full rehab program, otherwise the chances are good that you'll be looking like Pisa again within a few months.
50 PERCENT LESS PAIN ... the dangerous time.
GARDENING
The worst thing for the low back is the chair. Exercise is what will improve your spinal health. But heavy sports like squash and tennis, and gardening require that you follow the rules religiously. Lower back exercises EVERY morning before getting out of bed, do a warm up and cool down program assiduously before sport AND GARDENING.I used to suffer myself occasionally from a
lumbar disc protrusion
at L5-S1, but my back has gone from strength to strength since I have started heavy gardening in my semi-retirement. But then I have a chiropractor in the house, my daughter!, who cares for me periodically. I do my lower back exercises very faithfully, and have a treatment from her every six weeks. It's a good formula. It works.
LOWER BACK EXERCISES ... on YouTube, scroll down to Lumbar disc syndrome exercises.
TREE PLANTING HELP ... excellent physical exercise for the lower back.
Lower back pain - the real cost Lower back pain has become the most expensive item in many Western countries' health budget. It could become YOUR most expensive item. Take the first attack seriously, don't assume it happens only to "other people" and get started on your own daily exercise routine. In fact, I promote back exercises, like brushing teeth, for every body, whether you've had a back problem or not. After all 80% are going to suffer.... they take less than two minutes, BEFORE getting out of bed in the morning.
Lower back pain ... the real cost.
Leaning AWAY from the pain?The second common disc injury is called the Postero LATERAL herniation, and you lean in the opposite direction. AWAY from the pain. It needs to be managed quite differently... but both demand a life long commitment to a daily exercise programme. Or suffer...

Leaning AWAY FROM the pain? The Postero LATERAL disk herniation ...
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Useful links @ POSTERO MEDIAL DISK HERNIATION
(Far) Lateral disc herniation ...
Slipped disk ... What is it?
LOWER BACK PAIN AND LEG PAIN The seriousness of lower back pain is of course that it can pinch the
Femoral Nerve ...
the nerve that supplies in the main the groin and front of the leg, or the sciatic nerve (which supplies mainly the back of the leg). The Femoral nerve test is difficult but you can test yourself for sciatica at home...
SLUMP TEST for sciatica
Low back pain and leg pain
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