Prolapsed disc, which therapy?

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I'm wanting some advice and suggestions please. I have two prolapsed/herniated/whatevertheycallitthisweek discs, one of which presses on the sciatic nerve. I've already had one caudal epidural injection, which really helped for 6 months, hardly took a painkiller for the first 4-5 months! That's now worn off, and I'm now in pain again. The pain has been excruciating at times this last week, probably because I've had a cough now for several weeks.

Anyway, my question is, not so much which therapy is best, but more on how they would work on that sort of problem. Physiotherapy so far just seems to be exercises. Chiropractic I kind of understand, but believe it's more to do with pain relief rather than actual "fixing it though I could be wrong there!", I don't really know what an osteopath would do for this condition at all.

Is someone able to explain one or more of the different therapies out there, how they would help, how they would work and what they'd actually do?

I'm suspecting that eventually I might need surgery, but would like to avoid that if possible.

Susan
 
is thisthe result of an accident or gradual onset, there is so much you can do yourself by mobilising the spine, PM me for more advice or post here with general background info
regards
BGFL
ps I had client last night with 2 prolapsed discs and sciatica since june 2011, she couldnt walk in but walked out and it was mainly postural problems adapting the neutral spine which can be sorted easier than if an accident caused the problems
and she is now not looking at surgery which had been recommended by ......her surgeon
 
Thanks for the reply BGFL!

A bit of history. For many years, I had on and off problems with my back. The occasional trapped nerve, and muscle spasms from time to time. Occasionally my back would go out of line, I'd stand kind of bent, and one hand came lower than the other! It would then be ok again.

Anyway, in late 2005, officially obese, I went on a calorie controlled diet. Lost average of 1ยฝlbs a week, so not fast or anything, and over a year lost 6 stone. By this time I'd taken up running, used the gym regularly (working on strength, including abdominal strength) cycled quite a bit too. In 2008 I ran London Marathon in just under 4ยฝ hours, so was reasonably fit. During this period I had very little problems with my back. Just occasionally I'd get muscle spasms, but usually if I'd done something I could put my finger on, like lifting wrong.

Now, in November 2009, I was having just a few problems with my back, it went out of line again, and I went to the GP, he gave me diazepam. A few days later a child at the school where I worked (special needs) "hung" on my neck in fun, for a few seconds taking his feet off the floor. I felt something in my back at the time. It took a couple of days before the problem showed itself. I couldn't put my sock on or shoe to go to work!

Turned out in time that I had two herniated discs. Problem is around L4/5 and also L5/S1 Doctors have said it was probably a problem waiting to happen, due to history of back going out of line.

Anyway, that's the main history! Have been told that if I do manage to take up running again (at the moment not a chance, and suprise suprise, I've put weight back on, not quite to where I was before, but I'm no longer fit!) that marathon running is out.


Susan
 
It sounds like you are a chiropractor? I think anyone with a disc problem has to be careful as it has been shown, and reported in threds here, that some chiros can do more harm than good and irritate an already prolapsed disc into herniation.

Now, I am not anti chiro,s I have my own that has seen me on many times hobble in and then walk out, but also I have found that the relief can be shortlived as the manipulation just allows the swelling to reduce and it then builds back up as the problem is not solved. However, once he had seern my mri he refused to treat me with any manipulation techniques and only would do massage.

I really do recommend this book, I found the title on HP lol and it has helped me understand my back and the docs!

Sarah Key's, Back Sufferer's Bible
http://www.amazon.co.uk/Sarah-Keys-Back-Sufferers-Bible/dp/0091814944/ref=sr_1_1?s=books&ie=UTF8&qid=1327491606&sr=1-1




Time is the best healer but few of us give our bodies a chance these days
 
Sorry but your supposition is wrong, I am a rehab specialist, specialising in sporting injuries and particular interest with postural issues which in turn affect the sporting performance. I reitterate there is much WE can do that doesnt involve manipulations, education is the key

regards
BGFL
 
Hi Susan,

In March 2010 (I was 26yrs)I started my worst period of back pain or should I say leg pain, I was in agony no painkillers touched me and I was struggling to walk or sit. I spent a small fortune on oestopath appointments that I really dont know if they did anything. I was referred to a specialist in May who did an MRI and showed my prolapsed disk and pinched nerve L4/L5 (I had numb toes) I had an epidural about 3 days later as i was barely functioning . I was told it helps to reduce inflmation around the disk. The pain eased but never went away. I had never really wanted surgery but after lots of discussion, research and soul searching I went with it (Not something I took lightly). I had been told that the longer you continued to have pain then the nerves get more damaged and then sometimes the surgery isn't as effective as you are left with some pain/tingling in the leg. I had the surgery in June (was a massive descision for me did lots of research and questioning the specialst) As soon as I came round from the op bar the pain in my back from the operation my leg didn't hurt at all and I was so relieved. I made a great recovery and even sat on my horse 6 weeks after surgery, I contiued with pilates and had a very active 2011 competing in horse driving trials and working with children during the week. The last 2 weeks I have had back pain (i sneezed whilst putting on a sock) and since the weekend pain in my right leg and buttock again. The physio has said that it is likely to be a prolapsed disk (the same one I had operated on (l4/l5) we are giving it 6 weeks with physio exercises and pottering about. The doctor said 'keep active' however the physio has said to listen to my leg and lay down when i need a rest. As it is believed to be the same disk and it has already been operated on they say it has a better chance of slipping back in (for want of a better word). The physio exersise are very similar to the pilates I have previously done. The cocktail of drugs are at least dulling the pain a little. Drinking lots of water i'm told helps to up the fluid intake. Listen to your body was nice to hear from the physio as the doctor was only half listening when i tried to talk about previous painkillers i'd tried and had reactions to and the pain. I think different things work for different people, I had acupuncture and other treatments with the oestopath but this time I am trying physio. It is so very depressing to back in this situation. Thankfully there is so much on the internet and so great books you can read to help.
 
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  35. AliceSpa:
    THURSDAY at ๐—”๐—Ÿ๐—œ๐—–๐—˜ ๐—ฆ๐—ฃ๐—”.4915 Steeles Ave. E, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿฎ๐Ÿต๐Ÿด-๐Ÿฌ๐Ÿด๐Ÿต๐Ÿด. 3 girls here today at ALICE SPA. Open 10am to 9pm: JESSICA is from Hong Kong, super busty D Cup, 5'2", 109 Lbs, curvy, soft white cream skin, pretty face, can bbbj cim dfk 69 cof sf2, available all services, excellent treatment. KITTY is a new Korean girl, super busty, small body, new to the business.
  36. Spa in Markham:
    GOLDEN FS โ€“ 8380 Kennedy Rd ๐Ÿ“ž 905-258-0777 / 416-688-6886 ๐Ÿ‡ป๐Ÿ‡ณ JULIE (2PM), ๐Ÿ‡ธ๐Ÿ‡ฌ CANDY, ๐Ÿ‡ป๐Ÿ‡ณ๐Ÿ‡จ๐Ÿ‡ด MEGAN (9PM), ๐Ÿ‡ญ๐Ÿ‡บ VANESSA, ๐Ÿ‡ฎ๐Ÿ‡ณ SONIA (8PM) ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookinggoldenlove
  37. FLOWER Spa - BLUEXADO | Thornhill | VAUGHAN:
    BLUEXADO FS โ€“ #06-1102 Centre St ๐Ÿ“ž 416-357-9797 / 416-678-8668 ๐Ÿ‡ญ๐Ÿ‡ฐ๐Ÿ‡ป๐Ÿ‡ณ CICI, ๐Ÿ‡ฒ๐Ÿ‡พ AMY, ๐Ÿ‡ป๐Ÿ‡ณ MY LINH (2AM) ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookingbluexadolove
  38. FLOWER Spa โ€“ PINK | Scarborough | TORONTO:
    PINK FS โ€“ 3300 McNicoll Ave ๐Ÿ“ž 416-299-5515 / 416-817-3839 ๐Ÿ‡ฎ๐Ÿ‡ท ELINA, ๐Ÿ‡ป๐Ÿ‡ณ KELLY, ๐Ÿ‡ต๐Ÿ‡ญ MADY (12PM), ๐Ÿ‡ป๐Ÿ‡ณ๐Ÿ‡จ๐Ÿ‡ด MEGAN (2PM) ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookingpinklove
  39. Jennyโ€™s Spa:
    ๐ŸŽ‰๐Ÿ’JENNYโ€™S SPA๐ŸŽ‰๐Ÿ’ โœ…5170 DUNDAS STREET WESTโœ… ๐Ÿ‘ŒETOBICOKE ONTARIO M9A 1C4๐Ÿ‘Œ โ˜Ž๏ธ( 647-893-5196)โ˜Ž๏ธCall or Text โ˜Ž๏ธ( 437-888-3759)โ˜Ž๏ธCall Only (ETOBICOKE) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…GRAND OPENING๐Ÿ’ฏNEW GIRLS EVERYDAY๐Ÿ”ฅEXCELLENT MASSAGE + SERVICE QUEENS NOW AVAILABLE AT JENNYโ€™S SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅTWO BEAUTIFUL NEW YOUNG ASIAN GIRLS EVERYDAY๐Ÿ”ฅ ๐Ÿ’ฏREAL PICTURES OF ATTENDANTS๐Ÿ’ฏ ๐Ÿ”ฅ๐Ÿ’‹Limited Time Special Promotion๐Ÿ”ฅ๐Ÿ’‹ โœ…๐Ÿ’ฆ30 Minutes Nude Mass
  40. wonderspa:
    wonderspa: :wonderspa: โ˜Ž๏ธ416-5000-800,L6a4H8๏ผŒopen10 to10,Ensuit shower available ๐ŸŒน๐Ÿ”ฅbeautiful young Jessica sexy body,deep tissue to relax massage back walk,hot stone๐Ÿ…sexy face sunny is very good looking,slim body ,nice body slide sweet sensual touch ๐ŸŒนbeautiful long hair younge new lily Q,friendly,amazing massage,happy the end,really popular,must tryโค๏ธ
  41. wilson holistic centre:
    new girl works at ๐Ÿ’‹535 Evans Ave today ๐Ÿ’•๐Ÿ’•๐Ÿ’•โ˜Ž๏ธโ˜Ž๏ธ416-531-6969โ˜Ž๏ธโ˜Ž๏ธ
  42. Golden Sunshine Spa:
    โœจClick on our Username and FOLLOW US for updates and special services ! โœ… Click Here Today๐ŸŒธTina๐ŸŒธCindy๐ŸŒธIsabella๐ŸŒธNadia๐ŸŒธAnna Call us โ˜Ž 905 - 265 - 2158โ˜Ž๏ธ Your ultimate service awaits! โœจ
  43. Soul Relax Spa:
    โœจ Looking for a relaxing escape? โœ… Click Here Meet๐ŸŒธKelly๐ŸŒธKim๐ŸŒธValentinaCall us today for the best treatment and service experience. Click on our Username and FOLLOW US for updates ! Call now โ˜Ž 289 - 298 - 5662โ˜Ž๏ธ Your ultimate relaxation awaits! โœจ
  44. ForeverWarden:
    Thursday at ๐Ÿซฆโค๏ธ๐Ÿ”ด๐ŸŸฅโ™พ๏ธ๐“•๐“ž๐“ก๐“”๐“ฅ๐“”๐“ก ๐“ข๐“Ÿ๐“โ™พ๏ธ๐ŸŸฅ๐Ÿ”ดโค๏ธ๐Ÿซฆ๐Ÿซฆ2190 Warden Ave, Unit 201, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿด๐Ÿฌ๐Ÿฌ-๐Ÿณ๐Ÿด๐Ÿด๐Ÿณ: Cindy, Sophia & Tracy. Cindy is a slim beauty, 5โ€™4โ€, natural C Cups. Her massage is nice, her services will drive you wild & her finish is a dream come true. Sophia is a sweet & pretty Chinese lady with natural B Cups and an awe-inspiring smooth rounded ass. Sophia can provide top notch services
  45. HolidaySpa:
    Thursday at ๐ŸŒด๐Ÿ˜Ž๐ŸŒ…๐“—๐“ธ๐“ต๐“ฒ๐“ญ๐“ช๐”‚ ๐“ข๐“น๐“ช๐ŸŒ…๐Ÿ˜Ž๐ŸŒด3517 Kennedy Rd, Unit 4, Scarborough โ˜Ž๏ธ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฎ๐Ÿฐ๐Ÿณ-๐Ÿญ๐Ÿญ๐Ÿต๐Ÿตโ˜Ž๏ธ: ANGELA, LUCY & CINDY. Angela is versatile and responsive. LUCY is a beautiful and slim Asian lady with a happy disposition and great services. CINDY is a slim & incredibly sexy lady with a smile that will melt your heart, & an ass that will fire up your spirit.
  46. SugarLoveSpa:
    Thursday at โค๏ธ๐Ÿ’™ ๐Ÿ’œโŽ๐—ฆ๐—จ๐—š๐—”๐—ฅ ๐—Ÿ๐—ข๐—ฉ๐—˜ ๐—ฆ๐—ฃ๐—”โŽ ๐Ÿ’–๐Ÿ’—๐Ÿ’˜: LUNA, MIA, SARA, TIFFANY & VIVI. 1270 Finch Ave W (at Keele St), Unit 18. North York, ON โ˜Ž ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฏ๐Ÿฒ๐Ÿฑ-๐Ÿฎ๐Ÿฒ๐Ÿด๐Ÿด โ˜Ž LUNA is a slim, VERY PETITE and capable Vietnamese beauty, nice natural 34C Cups. Luna can do everything. MIA is a young & slim ๐™Ž๐™‹๐™„๐™‰๐™‰๐™€๐™, very PRETTY & PETITE Vietnamese beauty with perfect natural A Cups, 5โ€™1โ€ & 90 Lbs, very versatile.
  47. EMSpa_schedule:
    ๐ŸŽ‰Come visit us!๐ŸŽ‰ Today (Thursday), our amazing attendants are Ada ๐Ÿ’œ, Cici ๐Ÿคฉ, Vicky ๐Ÿฅณ, Sophie ๐Ÿค— and Monica ๐Ÿฅฐ. Call us at โ˜Ž๏ธ (905) 479-6668 โ˜Ž๏ธ to book your favourite and head on over to 7665 Kennedy Road, Unit 4, Markham!
  48. ใ™ใฟใพใ›ใ‚“:
    Top notch wellness: Ella , elena, Angela, Michelle, gabby , and Vanna. Call us now to make your appointment. 437-522-9961
  49. bnwellness_wilson:
    We have 4 young girls are working today, young Taiwanese Victoria slime 26โ€™s open mind and young flirty Tina 30โ€™s with curly body open min, young popular kitty 26โ€™s with curve body and pretty Ella are providing deep tissue massage, pls call 4163985777 book appointment and walk in always welcome,back entrance and parking available, 350 Wilson Ave North York
  50. luckywellness:
    Lucky Wellness Center 4379721888 295 Eglinton Ave E,Unit 7,Mississauga We have two girls working today. Judy and Kiki. They are young and beautiful, cute and sexy. Deep tissue massage and relaxation massage are both great. Back walking is very comfortable. They have sweet smiles and work seriously. If you are tired from work, come and make an appointment!๐Ÿค—
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