Herniated Disc Part 2: The Best Exercises For Your Herniated Disc

By Dr Ken Nakamura+

Have you gone over the Disc Herniation Part 1” article from last week and feel better but still have pain?

Do you want to find out the best exercises to put your herniated disc back in?

Do you want to feel better than you do now?

In this article I go over

  1. Best exercises to push a herniated disc back into place

  2. Stabilization exercises that keep your disc from coming out

Lumbar Disc Herniation-Downtown Toronto Chiropractor

Lumbar Disc Herniation             From neurosciences.beaumont.edu

When you have a herniated disc the nucleus has been pushed through the annulus like in the picture above. What caused it to go out in the first place?

The answer is forward bending. Each time you bend forward your disc which is like a jelly/jam doughnut gets pinched at the front. Pinch the doughnut often enough or hard enough and the annulus breaks and the nucleus goes through and pushes on the nerve.

The disc is actually made of a hard cartilage on the outside, but the inside is relatively soft, like phlegm. You need to understand that with a disc or doughnut, they work in the similar way.

If you push on one side of the doughnut, the jelly gets pushed to the other side. Same with the disc so the analogy to a doughnut is pretty close.

When there is enough pressure on the nerve from a herniated disc or if there is inflammation you feel pain.

The solution is to push the doughnut to the opposite side. This is exactly how you can fix your herniated disc.

If you want to know more details about herniated discs, go to Disc Herniation Part 1: Best Self-Treatments To Help Your Lumbar Disc Herniation.

How Do I Put Pressure On The Opposite Side of the Disc?

The answer is you bend your spine backwards or put your spine into extension.

Best exercises to push a herniated disc back into place

Warning: You can get a little more pain while doing these exercises. If the pain is getting much worse or your pain goes further down the leg while you are doingthese exercises, stop right away

Lie face down or prone in bed with your elbows tucked in under your side:

  • As soon as you get up in the morning you should lie prone (face down). By getting in this position, your lower back becomes more arched, or as doctors say, you increase your lordosis.
  • The increased lordosis pushes on the back of the disc helping to bring the nucleus forward into the correct position.

Sphinx pose in Yoga or Prone Prop McKenzie

  • Get into the prone position lying down on your stomach.
  • Next get on your elbows. If you have a hard time with this position go back into the prone lying position.
  • Do these exercises holding each time for 1-2 seconds 6-8 times per set. This exercise can be repeated every two hours throughout the day.

Asses yourself. If the pain has decreased or pain has moved away from the leg or thigh and into the hip or buttock, this is an improvement. Even if the pain is increased in the back but relieved in the leg this is an improvement and a green light that you should continue this exercise. You also get a green light if there is no difference at all.

  • If your self-assessment gives you the green light, move onto the Cobra exercises just below.
  • If your thigh or leg pain is worse, then stop right away.
  • If your low back, thighs and legs are the same you get a green light, move on to the Cobra exercises.

Yoga Cobras or McKenzie Push-ups

 

  • Lie down face down with your hands underneath your shoulders.
  • Push up from as high as you can until your lower back stops you or your elbows are straight.
  • The pelvis should still be on the floor and the lower back muscles relaxed.
  • Do these exercises holding each time for 1-2 seconds 6-8 times per set. This exercise can be repeated every two hours throughout the day.

Asses yourself. If the pain has decreased or pain has moved away from the leg or thigh and into the hip or buttock, this is an improvement. Even if the pain is increased in the back but relieved in the leg this is an improvement and a green light that you should continue this exercise. If your thigh or leg pain is worse, then stop right away.

 

Standing Extensions

Herniated Disc Put your Disc Back In & Prevent Herniated Discs

Standing Extensions To Put your Disc Back In

  • Stand straight and put your hands behind your hips with your fingers facing down.
  • Push your hands into your pelvis so that your lower back arches.
  • Don’t use your lower back muscles
  • These exercises can be done 6-8 times for 1-2 seconds. This exercise can be repeated every two hours throughout the day.

 

Stabilization Exercises: Prevent Your Disc From Coming Out By Having A Stable Spine.

 

#1 The Cat-Cow or Cat-Camel

Cat Cow Herniated Disc Put your Disc Back In & Prevent Herniated Discs

  • On all fours with your knees under your hips and hands under your shoulders.
  • Inhale and let your belly fall downwards toward the floor as you look up toward the ceiling for 2 seconds.
  • Exhale and arch your back up as far as it will go or until you feel pain. You should not feel pain with this exercise, otherwise you are going too high.
  • At the same time bend your neck forward and look toward your naval.

 

#2 Curl-Ups

Herniated Disc:Best ways to treat a Herniated Disc

Curl up to help strengthen your rectus abdominis i.e. Your Abs

  • To start, one foot is bent and the other is straight.
  • One forearm goes under your arch of your lower back to support it.
  • Other arm is supporting your head.
  • Your head and neck come up as one block, until your shoulder blades clear the floor.
  • Do three sets of 5 working your way up to 10. If it’s easy, then hold for a couple of breaths.

#3 Squats

How to Improve Posture-Chair Squats: Toronto Chiropractic Clinic

  • Stand in front of a chair as if you are going to sit on it.
  • Stand with your feet facing slightly more outward than your knee.
  • Make sure your butt comes out, and keep lowering you butt until you touch the chair.
  • Practice 3 sets of 10.
  • When you are stronger, take the chair away and go down until your knees are bent 90 degrees.

#4 Bird Dog

 

  • Get into a crawling position with your hands and feet shoulder-width apart.
  • Harden your core by contracting your abs and lower back. This is called bracing.
  • Lift up your arm first. If this is easy, then lift your leg only. If that is easy, then lift the opposite legs and arms, for example right leg, left arm.
  • Want to make it tougher? Try lifting an arm and leg on the same side.
  • 3 sets of 10. If you are shaking a little or cannot balance quite right, you’re doing the right exercise for you, i.e.  lifting just the leg or arm might be easy, but lifting opposite arms and legs might put you off-balance a bit. Make sure you are stable before going to the advanced bird dog.

 

 

Tell us what you think in the comments below and like us on Facebook. This Toronto Downtown Chiropractor will answer all questions in the comments section.

 

References

 

1.  J Med Genet 2002;39:387-390 doi:10.1136/jmg.39.6.387


Author

Dr Ken Nakamura

Who is Dr. Ken? I’m a father, spouse, chiropractor, and I love what I do! I created Bodi Empowerment to bring you and everyone-else safe and effective methods for self-treatment by basing my articles on research to everything I can. Still many parts will be based on 18 years of experience, seminars, and collaboration with other health experts; which means you will get opinions as well. Sometimes my articles won’t agree with what is currently accepted, but I am not here to please everyone. I’m here to empower you through the knowledge that I give you. Dr. Ken works at Rebalance Sports Medicine in downtown, Toronto.

1,265 Responses to Herniated Disc Part 2: The Best Exercises For Your Herniated Disc
  • Kaneel Singh says:
    November 9, 2017 at 8:33 pm

    Good day Dr Ken,

    I have 2 questions:

    First is that a few months back my pelvic bone had rotated and after getting it adjusted from the chiropractor, i felt difference and relief. But now mu lower back has become very weak. I feel like my lower back and glutes are not like a single unit. Also i feel the weakness and the lower back gets stiff/sore very frequently and easily. The chiro says that it will take time to heal as the rotated pelvic bone was a chronic condition and remained rotated for 2 or 2.5 months. Is this the reason for weakness and if yes what can i do to do away it??

    Secondly, i had an MRI that says :
    Mild diffuse disc bulge noted at L4-L5 level with mininal indentation over adjoining bilateral descending nerve roots.
    Is this a cause of concern? If so what will be the symptoms of it? I had showed it to the chiropractor and he said that this is not a concern as there is enough gap for the nerves.

    Await yor reply. Thanks in advance.

    • Dr Ken Nakamura says:
      November 9, 2017 at 11:29 pm

      Thanks for your question Kaneel. An MRI does not show what is actually happening in real life as you don’t sit up or stand in an MRI. Unless you had one in that position which would be rare. I haven’t come across it yet. So that assertion that there is enough space between the nerve and the disc is not correct. While sitting there is more pressure on the disc so the disc will stick out more depending on the posture. You slouch and the disc will usually stick out more, however, if you sit with a proper arch in your lower back the disc can go back in more. Since most people eventually slouch the disc tends to stick out and eventually pinch on the nerve. Likely the problem has to do with the disc as that will cause weakness and “gluteal amnesia” or improper firing of the muscles. However, I haven’t examined you. The above is an opinion and not a recommendation.

      Hope that helps your herniated disc.

      • Kaneel singh says:
        November 10, 2017 at 1:21 am

        So what should be my next step then according to you to get myself treated.
        Should i consult an ortho or PT or another chiro?

        • Dr Ken Nakamura says:
          November 13, 2017 at 6:43 am

          Thanks for your question Kaneel. Try concentrating on these exercises in this article with special emphasis on the cobra-like exercise. Remember you have to relax the pelvis and let the pelvis or hip touch the floor or as close to the floor as possible to see if you are improving. Try that for a week first then go see another chiropractor if you need to.

          Hope that helps your herniated disc.

  • Abhirup says:
    November 3, 2017 at 6:14 pm

    Hello Doctor
    I’m from India and I’ve recently been diagnosed with a slight L5-SI Disc Bulge . I’m slim with a decent athletic build (5’10”,150 lbs) and as a sports and fitness enthusiast, I love playing football and have played at a semi-pro/ recreational level for the past 15 years. I also love jogging and have jogged at a frequency of 3-4 times a wee (30 minutes every alternate day)up until the diagnosis . I think I can now identify the precise moment when I caused this injury. That was more than five years ago when a sudden twisting movement during a game of football caused a tremendous muscle spasm, but up until now, I’ve never had any sort of problem with my back (although the muscle spasm used to come and ago and it was too insignificant hence I kept ignoring it) . 4-5 weeks back, I suddenly felt shooting pain from my lower back all the way down to my hamstrings. Had an X-ray, which indicated no spinal abnormalities whatsoever. I decided to visit an orthopaedic surgeon and get an MRI report of my Lumbar Spine. The diagnosis is as follows:
    > Central and left para central L5-S1 disc bulge with mild left side neural foramen narrowing
    > Impingement of left SI nerve root is seen
    > L5-S1 disc desiccation
    No Spondylolisthesis , No bulge/herniation in the remaining discs , no abnormalities in the sacroiliac joints.
    The orthopaedic surgeon said that mine is a slight bulge that should go away with PT and exercises. I took a second opinion from a neurosurgeon who echoed my first doctor’s sentiments. He only asked me not to bend forward and imposed restrictions on heavy-weightlifting as of now. Taking of my pain, I can sit for hours ( obviously I don’t do that cause I get up every 10-15 mins or so and start walking since I have a desk job) ,stand for a long time and sleep without any problems/ pain. The only problem that I still have is a slight nerve irritation when I walk (as I believe it presses against the nerve roots) . The irritation or discomfort comes and goes away and immediately ceases when I stop walking /causative activity. I’ve already had 10 days of traction and electric stimulation treatment and I’m a lot better now. I’ve been advised by my physiotherapist to slowly start these extension exercises you’ve mentioned above and explained the logic behind it. I can do the advanced cobra stretch as well but it irritates the nerve for 30 minutes or so and subsides after a while. Hence I’ve decided to do the sphinx stretch and slowly progress to the cobra/ advanced one.
    Now that I have summarized my medical history, I have a few key questions :
    1> Are these exercises therapeutic ones /healing exercises? If so, then when can I see expect to see the positive results of these stretches, if I diligently do these everyday? I know its a long process but still an approximate time frame would be good
    2> The most important question: Can I go back to playing contact sports( on a recreational level of course since I’m not a professional).? Playing is my hobby and I really want to keep fit. Doctor said I can with a proper rehabilitation program and that I should take it slowly. He also opined that I can start jogging in 2-3 months time but for playing football, a bit more time with strengthening exercises is required. SInce it’s a small bulge, and I have no significant pain except the nerve irritation on my back and buttocks, when can I expect to return to mild, recreational sports? Do I need a chiropractor or a sports rehabilitation program or will these exercises suffice?

    Thanks and Warm Regards
    Abhirup

    • Dr Ken Nakamura says:
      November 8, 2017 at 8:43 am

      Thanks for your question Abhirup.
      1. These are therapeutic/healing for the disc and others are for stability/strengthening exercises.
      2. You can go back to light running and eventually light sports when you have pain-free range of motion in your spine that is full. Then you start a gradual program of increased exercises. I would do light squats deadlifts or bent over rows or not at all. Lunges are much safer or if you want to do weights weighted lunges.

      Hope that helps.

  • Aharon Bolshinsky says:
    October 28, 2017 at 3:46 am

    Hello, I have large disc herniation L1 L2 with pain in my back and anterior thigh region about a three month. I start manual therapy and get worse. I’ve got twice steroids injections,pain not improved, and recently i start another physical therapy by stretching bed and acupuncture, till now without any effect.
    Are these exercises suitable for me?
    Thanks

    • Dr Ken Nakamura says:
      November 8, 2017 at 8:20 am

      Thanks for your question Aharon. You ask a loaded question. You get worse with manual therapy and no change with injections, acupuncture etc.. It really depends on your diagnosis. Your symptoms seem to correlate to your MRI so likely the diagnosis is correct. However, regardless of what is seen on MRI a disc can behave differently from what is seen. A disc can be protruding out the back but behave as it’s coming out the side. In that case, you will not get better or get worse. Which is likely what happened. Your chiropractor has to test you functionally. If they didn’t do that they can’t get you better when a disc doesn’t behave typically.

      So the answer is, the exercises will not likely help. You can only know though if you try it and see. Likely you will get worse temporarily for a few hours or a few days. However, that is not guaranteed. I have never ever seen anyone get harmed permanently with exercises but it is possible. Don’t try them without supervision.

      You will likely need your exercises customized to suit your particular situation. Functional testing is required to know how to customize the exercise.

      Hope that helps your herniated disc. If you have any more questions this downtown chiropractor, Toronto will do his best to give you the good answer.

  • Ras says:
    September 30, 2017 at 12:57 pm

    Hi Dr Ken,
    I have bulging disc l5 and sciatica to the right leg. Which got worse when bending forward or slouching. I been to chiropractor, multiple adjustments to my l5 and tail bone. The cause is my tail bone is too inward they said.
    Cobra exercise helps me a lot. I have this for 3 years now from cycling and bad posture.
    I’m male 33 years old.
    I notice when carrying something while walking or standing the pain in the right leg got worse. Even though the stuff I carry only weigh 1 kilo, it’s more painful to the right leg when it’s heavier. I understand this is caused by the bulging disc being pushed out more with the weight carrying while standing.
    My question is what kind of training should I train to increase my weight carrying tolerance while standing or walking?
    Thank you
    Regards

    • Dr Ken Nakamura says:
      September 30, 2017 at 10:15 pm

      Thanks for your question Ras. You should do these exercises here in this article as well as this article.http://www.bodiempowerment.com/part-2-degenerative-disc-disease-exercises-help-lower-back-pain-spondylosis/

      Many of the exercises will be the same. Just do the ones that are different in the two articles.

      Hope that helps your disc herniation.The above is an opinion and not a recommendation.

      • Ras says:
        October 2, 2017 at 11:56 am

        Thank you for your reply.

        My pt also recommend bridge and plank exercise to me before. But when I tried those exercise, the pain in my right leg increase for days. Any glute activation exercise will increase the pain in the leg temporarily, even though I’m not slouching. Should I keep pushing through with the exercise progressively and see how it goes?

        Because I have foot drop pain, but slowly improving.

        My chiropractor doesn’t think I need surgery. And after many times adjustment he said my low back is getting better because the information in the l5 is reduced.

        • Dr Ken Nakamura says:
          October 4, 2017 at 8:25 am

          Ras, first you should not push through the pain when doing the exercises. You should ask your PT as he/she has examined you whereas I have not. I’m going by very limited information.

          Hope that helps your herniated disc.

      • Ras says:
        November 3, 2017 at 5:52 pm

        Hi Dr. Ken,
        I’ve heard from a friend who recommended me to go to pain management practitioners to deal with bulging disc, because one of her friend went to it and it helps. What’s pain management and what’s your view in regards to bulging disc and pain management practitioner? Is it better than chiropractors/ PT?

        • Dr Ken Nakamura says:
          November 8, 2017 at 8:25 am

          Thanks for your question. Pain management is only for those that are on the last resort and they have tried everything. You are not curing anything you only cover the pain. If you have tried everything and it has not worked then this may be your answer. It is certainly not better than chiropractors or PT. It is a different form of treatment that is a good band-aid. I would not call that better.

          Hope that helps.

          • Ras says:
            November 13, 2017 at 6:20 pm

            Hi Dr. Ken,
            What’s your view on Mackenzie exercise of side slide, which while standing someone lean on their left side of their body to a wall if they have sciatica on right leg/side and both legs a few steps from the wall then from torso drop to the wall 10 repetitions. Usually prescribed for bulging disc low back and crooked side. It’s quite recommended by pt.

          • Dr Ken Nakamura says:
            November 14, 2017 at 10:00 am

            Ras. I am a McKenzie certified practitioner with many other certifications in addition to my doctor of chiropractic. You don’t pick an exercise out of the air because you think it will help. That exercise is only chosen in certain limited circumstances. They will most likely make you worse as the vast majority of herniated discs don’t go out that way. There is a remote chance it will make you better but it will take an examination to determine that. You can go see a McKenzie certified practitioner. Most PTs are NOT certified. They might have taken a course but that doesn’t qualify them to do McKenzie technique. If you see a person that claims to do McKenzie technique, make sure they are certified. I personally know numerous physiotherapists that claim they do McKenzie technique having taken one or two of their seminars. They are not certified meaning they aren’t any good at the technique. They haven’t passed the theory or practical exam. They can claim to do a technique without having passed the most basic level of proficiency.

            Hope that helps your possible herniated disc.

          • Ras says:
            November 15, 2017 at 10:56 am

            Hi Dr. Ken,
            Why majority PT I seen always emphasizing in improving mobility than eliminating the pinching nerve symptoms on the leg. Thus teaching exercise such as knee to chest strech, twisting exercise, and glute strech.. the cobra is last on the list. And these are physiotherapists with more than 20 years experience plus lecturer at the University in Australia.. What’s your view on that?

          • Dr Ken Nakamura says:
            November 15, 2017 at 6:25 pm

            Ras, it all depends on the lens through which you see the world. McKenzie practitioners emphasize the pinching of the nerve, while others do rehab only. I personally have the opinion is one is not better than the other and both need to be done. Both are proven in research. I think you see too many different people and are being pulled in different directions. You should stick with one or two people and see if they help you. If they help stick with them. If they don’t after a month you should move on to a different health practitioner. I think you are wasting both time and money by shopping around so much.

          • Ras says:
            November 18, 2017 at 10:30 am

            Hi Dr Ken,
            Thx for your reply. I’m just confused why the pt view so opposite of the chiropractors in this regard. From your view slouching and twisting are bad for bulging disc, but the pt encourage to slouch and even keep doing knee to chest or child pose stretches to increase the slouching even more further. And saying that chiropractic adjustments are useless.
            I’m just surprised by how opposite this view were taught to the patients.
            Even your page taught how to pick up stuff from the floor the correct way, by NOT slouching. And yet this University lecturer pt have different view.
            I’m writing to you because your exercises above are the ones that improve my sciatica. So your opinion means a lot.

          • Dr Ken Nakamura says:
            November 20, 2017 at 6:23 am

            Ras, you are not understanding. I have a page dedicated to flexion exercises. It’s not chiropractors or physiotherapists. Any decent manual therapist customizes the exercises for the patient. Others will give you the same exercises to everybody. So it’s your experience but that is not how chiropractors and physiotherapists behave. I know because I deal with many physiotherapists and chiropractors alike. Certain patients require flexion, others require extension exercises while, other patients require combination exercises that are customized. So you say even my page, well that’s wrong as you clearly haven’t read my entire site.

            So the views in general, aren’t opposite they depend on the patient, not the health professional.

  • Zoe D says:
    September 30, 2017 at 9:21 am

    Dear Dr Nakamura,
    Thank you for your excellent articles and advice, it has been very helpful for me during my research. I have a herniated disc at L5/S1 (compressing the S1 nerve) for over four months.

    For the first three months it went undiagnosed and I received PT and acupuncture treatment for piriformis syndrome as all of my pain has been been in the glute and leg. My pain is still focused in the glute and leg with numbness and pins and needles in my foot. I often get a stabbing/shooting pain in my glute when going from sitting to standing position. I have noticed my affected leg losing muscle and have weakness standing on toes. This injury has greatly affected my sleep as I am waking frequently at night from pain – only finding relief with walking. I have been following all my PT exercises and yours but have seemed to have no improvement for the last 2 months. I recently received a CT guided cortisone injection into the nerve which only provided relief for the first 3 days.

    I have now been referred to an orthopaedic surgeon. Surgery would not be scheduled for at least another 2 months – placing me at the 6 month mark. What is your opinion on surgery at that point or do you think I should continue with conservative treatment for longer?

    Kind regards

    • Dr Ken Nakamura says:
      September 30, 2017 at 10:03 pm

      Thanks for your question Zoe. After the cortisone injection, I would revisit doing McKenzie extensions again to see if they will help. Often times the anti-inflammatory changes very stubborn problems so that only the mechanical portion is left thus exercises that were not helpful begin to work.

      I would certainly do that before surgery.

      Hope that helps your disc herniation. The above is an opinion and not a recommendation.

  • Avi says:
    September 28, 2017 at 12:45 pm

    Hi Dr. Ken, When should one start the stabilization exercises? Does one have to wait until the pain goes away??

    • Dr Ken Nakamura says:
      September 28, 2017 at 8:33 pm

      Thanks for your question Avi. You have already started with some stabilisation exercises as this is part of the exercises in this article. So you are reducing the herniation and you are stabilising your spine already. That’s the beauty of it.

      Hope that helps your disc herniation. If you have any more questions for this downtown Toronto chiropractor I would be more than happy to do my best to give you a helpful opinion.

  • Gerald says:
    September 27, 2017 at 3:03 am

    Hello doc ken.TY for your reply… I have large herniated disc l4-l5 with medium nerve root compression! Two spine doctors told me that I need surgery before when they see my MRI. I go for another 3rd opinion and the spine doctor told me that he will not go first for surgery and he suggest me for PT. He also told me that MRI is not important, the important is my condition. He check me physically. During that time i only have pain in my back range 1-3, no leg pain, no numbness in buttock, leg and feet. This is already 10 months from me. I improve during my PT and the pain was gone and sometimes it comeback maybe because sometimes I forgot for wrong posture/position and for riding in a car. Now i have back pain again and i cannot sit for a long time! That is the only problem that i have. No bowel and bladder problem. When i sit I can feel increase of pain in my back and to my buttock. I dont know doc if this is from disc being pressure during sitting or disc pinching the nerve when I sit! My back pain now range 1 -3, occasionally more than that. I am afraid that it will not gone because of this and is not clear for me if surgery is necessary for this! I am trying to avoid surgery if I can be heal for PT and exercise because if i will go for surgery this will be the end for my work. Do you think i am a cadidate for surgery base on my condition doc? Presently i continue exercise as what you advice. Ty doc and more power.

    • Dr Ken Nakamura says:
      September 27, 2017 at 9:30 am

      Thanks for your question Gerald. I would try a chiropractor or another physiotherapist. I personally would not do surgery for simple back pain with no complications whatsoever, even if the pain was worse than a 3/10. Why would you consider surgery, if you got better with physiotherapy? Also, there are other physiotherapists and chiropractors that you have not tried yet. Get out there and get better Gerald.

      Hope that helps your herniated disc. If you have any more questions for this downtown Toronto chiropractor I will do my best to give you a great answer.

      • Gerald says:
        September 27, 2017 at 1:56 pm

        Thank you so much again doc, I am very happy that I reach you for this site and received free answer from you regarding some questions and doubts in my condition. Sometimes I dont know what to do, i cannot judge or decide what to do, and I lost hope sometimes especially when the pain increases. God bless you doc and more blessings in life. You can help a lot of people for this.

  • Gerald says:
    September 23, 2017 at 3:17 pm

    Hello doc, just want to ask, 10 months of hearniated disc it is still possible to heal? I am pain free already after my PT but i notice when i am in the car for about 1 hr, and this happen every other day, sometimes in a week. I can feel weakness in my back, and after a few weeks or months I can feel that there is pain again in my back! After 6 month from herniated disc i can feel that i am not comfortable when sitting even i cannot feel pain in my herniated disc only on the side of my back with small pain about 1 or less. Presently i have pain again, somtimes it less, sometimes getting worst! Almost 3 months for this already and it happens 9 days only i am pain free ang it comback again.I am always doing exercise what PT before given to me! I am at work now ang i cannot come back for therapy. But i am planning to go again for therapy when I go home. That would be after 3 months if I can survive in my work. I am thingking to go home early but i have my family with two kids, I am afraid that when i go home i cannot support them financially. I am 32 yrs old. When i go home and if i am improving in therapy again i am planning to take a rest for 6 months before i will comeback to my work again. Do you think that would be a good decision doc? I am afraid also that my pain will takes long time to heal if i will not cure early. What would you advice doc?thank you for giving time reading this. And i am waiting for your reply. God bless you.

    • Dr Ken Nakamura says:
      September 24, 2017 at 3:41 am

      Yes, Gerald, you can heal. Continue on with the exercises or rather start the exercises.

  • Dami says:
    September 16, 2017 at 5:35 am

    Hi Doctor,

    I had disk herniation at my l5/S1 for a year and didn’t know. It was when the pain started radiating down my left leg and physiotherapy didn’t work that I did an MRI which showed that the disk was severely herniating. I ended up doing a surgery July 7th. I was re-admitted on July 17th due to csf leakage. They had to open me up to close the leakage. Then one more surgery was done on the 25th of July for dural repair. Now, since August 1st, i’v been having severe pain in my groins and my scrotum. It’s only with drugs I can bare the pain and even with that, it’s still bad. I’v done the “bird dog” and other exercises for a month now with no improvement. I currently have very negligible pain at my back and none of the sciatica pain. P. S. I was not having groin or scrotum pain before the surgery. Any ideas?

    • Dr Ken Nakamura says:
      September 16, 2017 at 7:44 am

      Thanks for your question Dami. There is pressure on your spinal cord or more accurately the cauda equina from either inflammatory fluid or scar tissue from my point of view. You will need an MRI as a follow-up to determine for sure. The surgery was a failure. I cannot recommend exercises as I don’t know what they did in the surgery and you can really only tell with an MRI and by talking to the surgeon and looking at the surgical records.

      Sorry to hear about this. Hope your herniated disc gets better.

      • Dami says:
        September 16, 2017 at 2:13 pm

        Hi Doctor,

        Thanks for the answer. The first surgery was a microdiscectomy on my l5/S1. The 2nd was spinal exploration plus dural repair. Apparently the csf leakage that was fixed wasn’t fixed well. Before the second surgery, I did a repeat MRI which showed that there was space between the nerve and the disk. But there was also a concentration of csf which led to the second surgery.

        I have also checked the symptoms of the cauda equina and I don’t have any of the symptoms mentioned there.

        “Symptoms of cauda equina syndrome include low back pain, numbness and/or tingling in the buttocks and lower extremities (sciatica), weakness in the legs, and incontinence of bladder and/or bowels”

        The only thing I have is pain in my groin and testicular region. No incontinence, no weakness, nothing else.

        Any ideas?

        • Dr Ken Nakamura says:
          September 21, 2017 at 9:03 am

          Thanks for your question Dami. If there is no pressure on the disc and a concentration of CSF that is not a reason to do a second surgery. The real reason is the surgery caused a leakage of CSF due to your dura mater being weak or the surgeon made a mistake.

          You can have pain in the groin and testicular region from pressure on the nerve going to the groin and also the cauda equina. Both happen infrequently but I have seen many cases. First of all, you need to know that the MRIs doesn’t show how you the reality of life. MRIs are taken lying down unless you got an MRI while sitting which is very rare as that is a more expensive MRI. Most people have pain with forward bending or sitting. Since there is more pressure on the disc when sitting you will get more pressure on the nerve. What appears to be no pressure can be pressure when not in an MRI. So MRIs don’t actually show what’s happening when you have pain for most people. You can get pressure on the thecal sac which is the covering of the cauda equina and cause groin pain. You can also simply get entrapment of the genitofemoral nerve near the psoas or anywhere along the path.

          However, I cannot give you exercises as you have been injured by the surgery the consequences of surgery can make exercises aggravate your situation. In your case I cannot tell without an examination. Why don’t you consult with a chiropractor that can actually examine you.

          Hope that helps your understanding of your lower back and disc herniations.

  • Amy says:
    September 9, 2017 at 8:27 am

    Hi Dr Ken,

    I’ve had sciatic pain from my right buttock wrapping into hip and down to my knee. This has been going on for nearly 11 months now. It started out where I was taking 1600-2400 mg of ibuprofen a day. This went on for 6-7 months. I weighed 194 and dropped down to 170. During this time I started seeing a chiropractor who had a PT in his office. We never did any adjustments. Just massages that focused on the piriformis. This seemed to lessen the pain for about 2 days where I could avoid ibuprofen. After 2 days it would be 800mg if ibuprofen a day. My chiropractor finally ordered an MRI and requested dye as well because of my concern of a possible tumor since I have had ovarian cancer. The results showed a herniated disc at my L3 and my L5S1 (L5S1 was pushing or pinching the nerve) as well as a small schwannoma tumor in the cauda equina region of the lower lumbar. The chiropractor recommended that I see a neurosurgeon that he wanted to refer. It almost seemed that he was pushing the neurosurgeon down my throat as my oncologist had referred a different neurosurgeon and the chiropractor continued to push his own referral. It was a bit unsettling but I agreed to see his referral. Prior to leaving the chiropractor’s office that day, that had me do one session of stretches with the physiotherapist. After the one session I started walking 30 min a day at the gym and doing the squats from a chair. As the week went on the pain lessened in my leg. It went down to a 1 for the most part and pain would rise to a 2 half of the time when I stood up. I was pretty excited of the progress over the last week. I went to the chiropractor today expecting to meet with the physiotherapist so she could work with me even more on posture during the stretches. However I ended up meeting with the chiropractor and the physiotherapist wasn’t there. The first thing he asked was “did I see the neurosurgeon today?” I said, “no they called to leave a message but I haven’t went in yet.” He proceeds to tell me he saw the neurosurgeon last night and they talked about me and the neurosurgeon said I was on his calendar for today. He said him and the neurosurgeon both agreed that doing a disectomy on the 2 herniated disc would likely be the route they went and observe the schwannoma. I explained that over the past 11 months my pain has went from a screeching 10 making me scream and take 2400 mg of ibuprofen to a 1-2 with no anti inflammatories now. I explained my insurance deductible starts over in January, so I would like to continue physiotherapy and lose another 15-20 lbs to see if I can become pain free. ( I do not have weakness of the legs, drop foot, bladder or bowel issues. I only have the sciatic pain in my right buttock and leg from the buttock to the knee). I also explained after having ovarian cancer I wasn’t comfortable with just watching and waiting to see what the tumor does. I explained that I understand the location of the tumor is no good whether we operate or it slowly grows. I told him I have done research and read about cyberknife that is non invasive and it kills the tumor so it can’t grow. I explained that looking into the tumor with this non invasive procedure would be important to me at this point and asked if his referral did this procedure. He said he wasn’t familiar with the procedure and the neurosurgeon he was referring me to does a lot of disectomies. That him and the neurosurgeon already discussed and he knows they will want to just observe via MRI. He then continued to push the consultation with the neurosurgeon for the disectomy and told me that disc don’t just absorb themselves. He said with it touching the nerve it will need surgery and stretches and losing weight won’t fix it. I finally agreed to the consultation so we could quit talking about it. At this point I felt I needed a second opinion because everything I read says dont do surgery unless it’s an emergency and you go numb or lose bladder or bowel function. (Maybe if he wasn’t so pushy with his referral I wouldn’t feel this way. I’m not sure). He then had me get on his traction table and he pushed around on my spine while the table kept dropping my legs and lifting them. (He has never had me do this before. Just stretches and massages). He finished and the pain had gone from the glimpse of hope I had at a 1 sometimes 2 back to a 5.5 and after laying still all night a consistent 4. I almost feel that he pressed around on the disc because i told him it was feeling much better and wanted to hold on surgery. (Maybe I’m making this up in my head but that’s how I felt). I went from feeling like I had hope between the disc healing and finding the non invasive cyberknife procedure to hopeless since my visit with the chiropractor today. In addition I feel that trust and credibility went out the window today. I’m wondering if what he said was all accurate and I just wanted to hear that it can possibly heal the rest of the way, and now I’m making up that he has Ill intentions because it wasn’t what I wanted to hear.

    Can you please provide feedback as to my concerns and his advice?

    • Dr Ken Nakamura says:
      September 10, 2017 at 9:49 pm

      Thanks for your question Amy. First, you don’t do surgery without doing extensive conservative therapy with the exceptions you pointed out like bowel and bladder issues, weakness or drop foot. I would personally go to that physiotherapist again in a different location or a different one.

      The problem I have is that Neurosurgeon apparently has decided what he/she will do ie surgery without doing an exam. Red flag! If that’s true and the neurosurgeon is taking the word of the chiropractor and the MRI I would not go. As a health practitioner, you always have to do a thorough history and exam. You then have a diagnosis before looking at the MRI. None of that is happening. The second problem is the physiotherapist started getting you better with effects that weren’t just overnight. You had a durable improvement. The chiropractor should then be happy that surgery is now less likely if the effects continue. The chiropractor should acknowledge this and encourage you not the referral at this point.

      Having said that I don’t think the chiropractor likely tried to hurt you as that is a known treatment that does help disc herniations. Unfortunately, it can make you worse as it doesn’t make all types of discs herniations better.

      It is unusual for the chiropractor to be so pushy. That is a yellow flag to me and sounds my like sales to me. However, I wasn’t there and I am listening only to your side.

      Hope that help your herniated disc. The above is an opinion and not a recommendation.

      If you have any more questions from this Toronto downtown chiro I would be happy to answer them for you. That’s the best I can do for you.

      • Amy says:
        September 13, 2017 at 8:59 am

        Thank you so much Dr Ken. I’m extremely appreciative that you take the time to get on this forum and answer questions.

        My pain is about a 4 and feels like someone punches me right in the center of my right buttock, with a light burning sensation down the back of my leg and an irritating pinching feeling at the back of my knee. What I’m starting to see is, if I’m up moving around a lot, whether it be walking around or just doing house work the pain drops to a 1 or less. I think I see greater relief when I’m squatting down and standing up a lot in a day (example we just changed baseboard in our house and there was a lot of up and down). Although my body feels exhausted the pain subsides in my butt and leg. When I walk the pain subsides to probably a 1. It’s when I’m sitting, laying down, or initially standing up after sitting that the pain is at it’s worst. (However it used to be a lot worse and I’m finally able to manage without predisone, shots of pain medicine in my butt, and ibuprofen).

        With this information is there any excerises or stretches you would recommend? Also, any ideas as to why the pain lessens after these types of motions and seems worse while laying, sitting, or standing?

        I also read that a girl’s chiropractor told her to bounce on a ball five minutes a day to increase the blood flow in her spine to help heal faster. Would this really help? Any other ideas to help?

        • Dr Ken Nakamura says:
          September 15, 2017 at 7:54 am

          Thanks for your question Amy. Regarding bouncing on all ball for faster healing. I have never heard that bouncing on a ball can increase blood flow to the spine. I do know that you can sit on the ball and do other exercises to increase the stability of the spine at the same time strengthening the spine. Perhaps there is a misunderstanding on her part?

          As for why you feel good when standing and squatting. Most people do this by keeping their spine extended or in other words, there is a curve in your lower back when you stand. Also, if you do a proper squat your spine is extended as well. When you sit your arch is usually straightened or even reversed thus pushing out your disc. However, if you have great posture you have an arch in your lower back when sitting.

          My opinion is that the exercises in this article would suit you very well and should be helpful.

          Hope that helps your herniated disc. If you have any more questions for this downtown Toronto chiropractor I would do my absolute best to give you an answer that is most useful.

  • Ása says:
    August 5, 2017 at 6:08 am

    Hello Dr. Ken
    I have had pain in the right side of my lower back moving upwards for several weeks and much stiffness in the back. The pain somehow radiates to the hip area. Is it possible that my disc is herniated causing this pain or might it as well result from a teared muscle in my back.

    Thank you. Best regards, Ása

    • Dr Ken Nakamura says:
      August 10, 2017 at 6:46 pm

      Thanks for your question Asa. Unless you had trauma or a motor vehicle accident you would not tear your muscle. It is more likely to have a herniated disc. However, it can be many, many different diagnoses as you don’t give me much information to go by.

      Hope that helps your possible disc herniation. This is an opinion and not a recommendation.

  • Stephen says:
    August 1, 2017 at 1:26 am

    Hey Dr. I’ve suffers from back pain over the past 4/5 years through competitive sport. Recently I have been in agony and suffering from a herniated disc in the L5/S1 region. Previously I have been able to carry out several exercises which had positive results in particular the cobra pose. However recently when carrying out this exercise, I feel a pinching sensation in my lower back, there is no referral down my leg but I have never had this sensation before. Is there a way of correcting this? I have looked at my technique and connot find any poor habits. Kind Regards, Stephen

    • Dr Ken Nakamura says:
      August 1, 2017 at 11:24 pm

      Thanks for your question Stephen. It sounds like your disc moved. You will have to go see a professional to help you out. Hope that helps your disc herniation.

  • Ras says:
    July 31, 2017 at 3:14 pm

    Hi Dr Ken,
    I’ve been part of page for years. I’m grateful for your help.
    My question for today is, more than a week ago I lie in sphinx position and tried to do Superman exercise that I haven’t done for a while, but when I tried, I felt sharp pain on my right hamstring which is my sciatic leg, i immediately stop, since then my pain in my right leg is worse now. I don’t understand why is worse, because I’m not in slouching forward position, did I somehow push the gel out more now? By overdoing the Superman? Is it just inflammation? I’ve seen my chiro and he said time will take care of it.
    My tail bone is too inward that my l4-l5 pinch my nerve for 3 years now. Cobra exercises helps me a lot. 33 yrs male. Cyclist.

    • Dr Ken Nakamura says:
      August 1, 2017 at 11:21 pm

      Thanks for your question Ras. Either your disc was sticking out too much or it went out in a new direction so you pinched the nerve more with the disc. The disc can change position usually slowly but can be a matter of hours. It’s not the exercise, it’s how you use the exercise that counts.

      Hope that helps your herniated disc. If you have any more questions, for this downtown Toronto chiropractor I would be happy to give you a good answer.

      • Ras says:
        August 2, 2017 at 4:14 pm

        Thx Dr for the reply,
        I would love to visit you but I’m in the other side of the globe, Australia.
        I just went to osteopath, she streching me like crazy, to add mobility and release stiffness. Stretching my hamstring, and twisting my body. This is a question I want to bring up here, the osteopaths and physiotherapists I met all told me that twisting the spine is not bad for the herniated or bulging disc. Actually it’s encouraged, to increase mobility. But I learnt from you that twisting the spine is bad for herniation.
        1. Which one is right?
        2. Does stretching and increasing mobility is useful for disc herniation? Because I don’t feel any improvement but sore hamstring from the osteopaths. And you’ve mention that stretching the hamstring will make the pain in the leg worse.
        Thx

        • Dr Ken Nakamura says:
          August 3, 2017 at 9:07 am

          Thanks for your question as usual Ras. Stretching the hamstrings will make things worse except if it’s flossing. Flossing when the problem is bad can also make things worse. You have to test the spine to see if you are ready for flossing. Twisting done a few times is fine. Repeated twisting will make you worse. That’s my opinion. Doesn’t sound like it’s helping either.

          • Ras says:
            August 4, 2017 at 6:59 am

            Thanks for your reply doc.
            Why in my case, activating glute will make the right leg more painful? Even just squeezing my butt while standing straight. Is it the nerve thing?
            Since the last Superman exercise hurt me, which “very beginner” exercises can you recommend aside from cobra, to strengthen?

          • Dr Ken Nakamura says:
            August 10, 2017 at 6:42 pm

            Hi, Ras. When the nerve is irritated or pinched the muscles that goes to the nerve get tight in your case. Even when you have a muscle problem tightening your muscle hurts. If you use your arms all day your muscles get painful when you move them. Either way a nerve or muscle problem they both can cause pain when you “activate” them or move the muscle. Just do the exercises in this article.

          • Ras says:
            August 11, 2017 at 3:12 pm

            Thanks for your reply Dr.Ken.

            I have a family member who told me that he had upper back pinch nerve causing numbness and tingling to the left arm. He swore to me that going to the chiropractor for adjustment every week for 3 months that made his nerve pinch got better.

            Is it true that going for chiro adjustment every week more effective than daily cobra exercises? Or it’s not necessary, only done for business purpose by the chiropractor?

            Regards

          • Dr Ken Nakamura says:
            August 12, 2017 at 7:22 pm

            Ras, Chiropractic adjustments are very helpful for a pinched nerve. The number of treatments and frequency depends on the condition and the stage of the diagnosis. So you are making an example of a neck problem but asking if it will be helpful in your case. The vast majority of the times chiropractic adjustments are helpful for lower back pinched nerves. I do find it often more effective than just exercises alone, although not in every case.

      • Ras says:
        August 15, 2017 at 7:05 pm

        Hi Dr Ken, thank for your reply.
        In regard to the exercises that involve activating glute which will cause more pain to the leg, even though not causing any flexion on the lower back or posture, such as bridge or just squeezing the glutes while standing. Should I push through the pain with these exercises? Will the pain in the leg reduce when my training improve?

        • Dr Ken Nakamura says:
          August 20, 2017 at 10:12 pm

          Ras, these are not the type of exercises that you should push through pain. Stop doing the exercises. More exercises is not better.

  • Ras says:
    July 29, 2017 at 6:37 am

    Hi Dr Ken,
    I have l4 l5 pinch nerve my right leg. I’ve been to chiropractors and PT, not much improvements, only cobra helps. I’m seeing osteopaths note.
    1. Is osteopaths suitable for this kind of problem?
    2. I was asked to stretch my hamstring, is it true streching hamstring can help?

    • Dr Ken Nakamura says:
      July 29, 2017 at 9:22 pm

      Thanks for your question Ras. It’s not the profession that matters it’s the person, continuing education, experience and the health care practitioner’s willingness to learn. So another chiropractor or different physiotherapist or osteopath may help. Stretching the hamstrings will make you worse but flossing may help. If too acute the flossing will make you worse. http://www.bodiempowerment.com/sciatica-4-best-exercises/

      Hope that helps your herniated disc. If you have any more questions for this downtown Toronto chiropractor I will do my best to give you a good answer.

  • Amit singh says:
    July 27, 2017 at 1:53 pm

    Hello Dr. Ken
    I’m 33 years old with 6 feet height and 95 kgs.Last year in April 2016 I had terrible shooting pain from mine back to toe.Then as suggested by my doctor I got a MRI done which reported that- 1.lumbar spondylosis with paravertebral muscle spasm. 2. Central and left paracentral L4-5 disc extrusion and caudal migration causing thecal sac indentation, left L5 lateral recess compromise with bilateral neural foraminal stenosis(L>R)..
    I did physiotherapy and traction for 3 months.My physiotherapists asked me to touch toe daily,which I did. Right now I do not have any pain but there is numbness from left of calf muscle to toe. And has a power loss due to which I can’t run. Dr. plz suggest me what to do? Weather I should go for surgery?

    • Dr Ken Nakamura says:
      July 29, 2017 at 9:31 pm

      Thanks for your question Amit. In your case, I would ask your 2 or 3 different orthopaedic surgeons if you need surgery. The loss of muscle strength is concerning. However, if you are continuing to improve your strength then I would stick with the program your physiotherapist is doing. Sounds like you had improvement with your pain but was your strength measured as a baseline. Were your calf and thigh measured at the beginning? If not, you wouldn’t know if your strength is improving. As for the numbness when your strength improves the numbness will improve although that can take even more time.

      Extrusion can take 6 months even longer to heal.

      Hope that helps your herniated disc. If you have any more questions for this Toronto downtown chiropractor I would be happy to give you a good answer.

  • Tiju Mathew says:
    July 21, 2017 at 4:00 am

    Dr Ken,

    Last Oct 2016, I had pain in my lower back. It was something like a finger pushing into my lower spine. I consulted a doctor, took an X-Ray which indicated doubt for L5-S1 disc prolapse with lumbago. Then further a MRI was taken where the report tells L4-L5 and L5-S1 posterocentral protrusion. Took some rest and tablets and got relieved from the pain.

    Recently I had pain (muscle contraction rather) on my lower back. Consulted an ayurvedic doctor, based on the advise of my friend, underwent massage treatment.

    Though slightly over weight, I play soccer, badminton, weight lifting etc but due to this situation not as confident as I used to be. Kindly advice what could be the best exercise for me to strength my back so that i don’t have any repercussions.

    Tiju Mathew

    • Dr Ken Nakamura says:
      July 25, 2017 at 9:08 pm

      Thanks for your question Tiju. I would simply do the exercises in this article. They are made to stabilise and strengthen. This is an opinion and not a recommendation.

      Hope that helps your possible herniated disc.

  • Ras says:
    July 14, 2017 at 7:52 pm

    Hi Dr,
    My chiropractor keep telling me to go back to him every week for adjustment on my sacrom bone that inward causing my l5 pinch nerve, even though I don’t feel any significant improvement. Even when I return every 2 weeks, he said it’s too long, have to be every week. I’ve seen him more than 10 times.
    What do you think?

    • Dr Ken Nakamura says:
      July 15, 2017 at 8:19 am

      Sound like your chiropractor is a business person first then a chiropractor.

  • Victor .manrique says:
    July 10, 2017 at 4:23 am

    Thanks for the info i will try them

    • Dr Ken Nakamura says:
      July 10, 2017 at 7:46 am

      You are welcome Victor

      • Victor .manrique says:
        August 26, 2017 at 6:01 pm

        Good morning doctor, what is your opion on l4 l5 s1 fusion.

        • Dr Ken Nakamura says:
          September 5, 2017 at 7:00 am

          Thanks for your question Victor. It’s always the last option as it’s irreversible. You need to try several different therapies before even considering it unless your have weakness that is getting worse, or bowel and bladder issues.

          Hope that helps your possible disc herniation.

  • Jenny says:
    July 10, 2017 at 1:10 am

    I have a torn disc in lower back. My doctor recommends NOT walking. I feel like I need SOME KIND of excercise/cardio. Is it a bad idea to walk if your have a torn disc in your lower back? Also how will I know if it is healed? Another MRI?

    Thanks!

    • Dr Ken Nakamura says:
      July 10, 2017 at 7:44 am

      Thanks for your question Jenny. For most people with a disc herniation, it is fine to walk, unless the problem is very acute or the disc is going out sideways. This is an opinion and not a recommendation.

      Hope that helps your possible “torn disc”.

  • Vishesh Sharma says:
    July 9, 2017 at 4:46 pm

    Hello Dr. Ken,
    I sincerely thank you for your guidance. I had slip disc L5-S1 8 years back. since then pain is off and on. I do swimming for exercise.
    A couple of weeks ago all of a sudden pain started in my back radiating to right hip. I don’t remember doing anything wrong but still. surprisingly 4-5 months back I played cricket exerting myself but no pain in my back, I even though that I might have strengthened my back but..
    Sir, please guide me what exercise to do when its paining and what afterwards for regular maintenance.
    Thanks
    Vishesh

    • Dr Ken Nakamura says:
      July 10, 2017 at 7:49 am

      Thanks for your question Vishesh. The exercises in the article may help you. That’s my opinion and not a recommendation. You need to do the exercises with a health professional familiar with the exercises.

      Hope that helps.

  • Haregua says:
    June 30, 2017 at 7:05 pm

    Hello Dr. Is it good for me this exercise? I have L2-3 posterior disc problem. I really appreciate your help.

  • Tammy Martin says:
    June 26, 2017 at 11:31 am

    Hi, I’ve been told I have a slipped discs between L1-L2, L2-L3, L3-L4, L4-L5 and L5-S1 from the progression of my Ankylosing Spondylitis. For years I’ve adapted and adjusted, now I am waiting to see the physical therapist and told it’s urgent that I go. Besides the stretching what would be the best move to assist myself?

    • Dr Ken Nakamura says:
      June 28, 2017 at 3:24 am

      Thanks for your question Tammy. It’s important that you know if there is fusion of the above vertebrae. Also is you are in an active phase of anklylosing spondylitis. If active there is inflammation. Any mechanical exercises would make you worse so there is no point going during the active phase of AS. Knowing if there is fusion of the vertebrae will change the expectations of the physical therapist and the exercises given to you.

      Hope that helps your herniated disc and your AS. If you have any more questions for this downtown Toronto chiropractor I will do my best to give you a great answer. The above is an opinion and not a recommendation.

      • Tammy Martin says:
        June 29, 2017 at 9:50 am

        If I ever make plans to be in Toronto I will be sure to book a consultation!!! There are fusions happening, the MRI scans did shows signs of it. I’m not to active as you can guess, but I also am not mobile. 20 years later I still shovel snow, carry in the wood, cut the grass, paint the walls, anything and everything I can do to stay moving. I rarely take sick days at work, and I’ve learn to manage my AS and pain. I believe the internist is moving towards surgery and that physical therapy is just a stepping stone. Surgery is not an option for a lot of reasons but mostly I don’t want the down time and I have a young teenager with health issues, I don’t have time. Thank you for your reply!

        • Dr Ken Nakamura says:
          June 29, 2017 at 6:54 pm

          When I say active I mean: Is your AS ankylosing spondylitis in the inflammatory phase? If the AS is in the inflammatory stage or “active” then physical therapy will make you worse. ie. Most if not all exercises will make you worse. If you can do all those things like shovel snow, carry wood etc… then you are not in the inflammatory or “active” phase of AS. After 20 years you are likely fused in the lower back and or sacroiliac joint. With fusion, you can still improve mobility but it will be slow and limited. Good luck.

          Hope that helps. The above is an opinion and not a recommendation.

  • Cris says:
    June 26, 2017 at 8:27 am

    Thank you Dr. Nakamura! I sincerely appreciate your reply.
    I hesitate to see a chiropractor. Although I had been tempted.

    • Dr Ken Nakamura says:
      June 28, 2017 at 3:20 am

      You are welcome. Cris, there are bad chiropractors, business chiropractors and good chiropractors that care. Referrals will more likely get you in touch with a good chiropractor. Reviews often help but again no guarantee. It is easier to find a good medical doctor than a good chiropractor but the same rules apply. Nothing is guaranteed. Really the profession doesn’t matter. There are good, bad and business mechanics.

      Hope you find someone good to treat your herniated disc.

  • Adams Kunambi says:
    June 26, 2017 at 3:50 am

    Hello Dr. is it okay/safe to add planks (both sides and normal planks) on above exercises for a person with L5/S1 disc herniation?

    • Dr Ken Nakamura says:
      June 28, 2017 at 3:13 am

      Thanks for your question Kunambi. Yes for the vast majority of people it is safe but I cannot say that it is safe in your specific case as it is generic. This is an opinion and not a recommendation. Hope that helps your herniated disc. If you have any more questions for this downtown Toronto chiropractor I will do my best to answer your question.

  • Cris says:
    June 23, 2017 at 7:27 am

    I have bulging disc at
    L5
    S1
    Mild/moderate (left side)
    Since April 2012 and I have not been able to heal this. I was doing back extensions and ab exercises for 1 year solid and that didn’t help. Then back extensions and abs on/off which seemed to at least relieve it here/there.

    I have good days and bad days with different symptoms on/off, wet or burning left foot sensation, lower back pain, etc. Do I try the herniated exercises?

    Are there any vitamins that may help (B, B12, magnesium) or diet? I have also heard of turmeric supplements possibly helping as well. Would bulging disc cause or affect tinnitus (left side)? Also any suggestions on best ways to sleep?

    Thank you! Appreciate your assistance.

    • Dr Ken Nakamura says:
      June 24, 2017 at 9:05 pm

      Thanks for your question Cris. I have plenty of people tell me they are doing their exercises that are patients of mine. Even when I show them, explain it to them and get them to show me a set they come back the next appointment with a variation of the exercise. I’m saying most people don’t do the exercises properly. If you are doing what you learned in Yoga then it’s wrong. Also, the ab exercises often make things worse. Even if the extensions are done perfectly and frequently enough (another potential problem) you might be doing “ab” exercises that are making you worse.

      So you could be doing the exercises wrong. Your ab exercises could be making you worse or your posture could be bad enough like most people that your back gets quickly aggravated.

      This is an opinion and not a recommendation. If you have any questions for this downtown Toronto Chiropractor I will do my best to give you a great answer.

      Hope that helps your herniated disc.

  • Saurabh pal says:
    June 18, 2017 at 8:11 pm

    Sir , my name is Saurabh.my age is 22 years.
    I have a little curve in lower back.it looks like so funny.it is lumber lordosis . I want to come back natural posture .plz sir help me.

    • Dr Ken Nakamura says:
      June 20, 2017 at 6:37 pm

      Thanks for your question Saurabh. I think you mean you have too much of a curve in your lower back, which is called hyperlordosis, since a “lordosis” in your lower back is normal to have. “Hyper” means too much. You may benefit from these exercises. http://www.bodiempowerment.com/posture-correct-your-exaggerated-low-back-arch/

      This is an opinion and not a recommendation.

      Hope that helps your posture.

      • Gerald says:
        September 22, 2017 at 4:42 pm

        Doc I had large herniated dic l4-l5, with l5 right nerve root medium compression result in my MRI,I have no leg pain b4 that after 2 weeks of PT, i drive in a jeep for 1.5 hrs back and fourth, and my back pain come back and pretty worst, I continue PT, it seems it improve, after 1 month of PT i feel pain in my right leg and almost 1.5 months it dis appear.I been on PT for 2 months and i am improving, but i can still feel some very small pain in the side of my back. After four months i am in a plane for 13 hrs flight and i feel not comfortable to sit after that, i feel tingling in my buttock. And now I feel pain again in my back and I cannot sit for a long time because when i sit their is pain in my buttock! But no leg pain. I am affected for my work now! I am a seafarer and i am 3 months onboard with this pain and difficult to sit!what would you suggest?i will go home now?i have herniated disc last november 2016 due to lifting of ropes, and started pt december. This is almost 10 months from me. What would you suggest for my?

        • Dr Ken Nakamura says:
          September 24, 2017 at 3:39 am

          Thanks for your question Gerald. You should try the exercises in this article.

          Hope that helps your disc Gerald.

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