Disc treatment program
Figure 29d. KB snatch Once the kettlebell swing is mastered with adequate weight and good technique, the kettlebell snatch provides increased muscular activation of the core in comparison to the kettlebell swing with similar compressive and kinetic results as the swing.
Figure 30a. Figure 30b. Figure 30c. Midthigh Power Clean The power clean is a classic strength and conditioning tool utilized in many sports. Figure 31a. Figure 31b. Figure 31c. The professional athlete spine initiative: Outcomes after lumbar disc herniation in elite professional athletes. Spine J. Gray G. Gray institute. Gray Institute Web site. Bogduk N. Clinical anatomy of the lumbar spine and sacrum. New York: Elsevier; [ Google Scholar ]. Calliet R. Low back pain syndrome. Philadelphia: A.
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First ed. Dragon Door Publications; [ Google Scholar ]. Kinetic comparisons during variations of the power clean. When this process malfunctions, problems and pain can occur. A bulging disc can be diagnosed by a thorough evaluation by a health care professional and also by imaging such as an MRI.
Symptom patterns common to bulging discs include pain with forward bending, pain with coughing, sneezing or bowel movements, and pain with prolonged sitting.
The pain can occur in the back, buttocks or even down the leg or into the foot if a nerve is irritated by the bulge. Contrary to common perceptions, many people that have findings of bulging discs on an MRI experience no pain. When bulging discs do cause pain, it is because of the following scenario: a spinal disc bulges causing the shock-absorbing function of the disc to be disrupted.
The weight that is usually distributed evenly through the disc by daily activities walking, sitting, and bending over is now distributed in an uneven pattern, putting unhealthy pressure on the affected disc and the surrounding discs, joints, and ligaments. Eventually this pressure causes problems which can result in pain. In fact, it can typically be treated at home and can usually heal on its own within 6 to 12 months. The most important thing is to give the bulging disc the opportunity to heal by:.
Written by Dr. Jeremy James. Learn more about Dr. James here. Before his exam, the patient had undergone two MRI studies, the first on December 29, , and the second, less than a month later, on January 23, shown chronologically in Figures-3 and 4. A comparison study of the initial MRIs revealed that the disc bulge initially observed on December 29, , had significantly worsened, leading to a moderate discal extrusion with significant compression of the thecal sac and the S1 nerve root.
Patient symptomatology and condition continuously improved. Discs are considered the largest avascular structure in the human body [10, 11, and 12]. They obtain life-sustaining nutrients such as water, oxygen, glucose, and amino acids through the process of diffusion, taking place across the endplates [13].
The diffused nutrients are utilized by the chondrocyte-like cells of the nucleus and inner annulus to synthesize the proteoglycan molecule [14] — a protein-like molecule needed for disc maintenance and repair. With degeneration, discs lose their osmotic pressure [15, 16], making the spinal disc unable to maintain its hydrostatic behavior [17]. When a disc loses its hydrostatic behavior, the axial load-bearing activities will significantly increase the intradiscal pressure [17], leading to loss of height [18, 19] and fluids rapidly [20].
The average intradiscal pressure non-load bearing is 70mm Hg [21]. Any time the intradiscal pressure exceeds diastolic blood pressure, infusion of nutrients and oxygen imbibition into the disc stops [21]. Also, increased intradiscal pressure, especially in a degenerated disc, leads to the degradation of the Aggrecan molecule clusters of proteoglycans.
The degraded Aggrecans are then readily leached out. Leaching or flushing our Agrrecans worsens proteoglycan deficiency [19, 21]. With the loss of fluids and proteoglycans, a degenerated disc is susceptible to bulging or, perhaps worse, tearing of fibers leading to herniations and extrusions. According to medical research, the underlying cause of disc degeneration, disc bulge , disc herniation, and disc extrusion is a lack of nutrients resulting from increased intradiscal pressure.
Research conducted by neurosurgeons Gustavo and Martin [22] showed a significant reduction in intradiscal pressure due to distractive tensions applied. They stated that the intradiscal pressure dropped to negative levels in the range of to mm Hg. Physiotherapy procedures such as ultrasound, interferential current therapy, manual, rehabilitative, and strengthening procedures helped stabilize and strengthen the entire spine.
In an era where neck pain, back pain, slip-disc , and scoliosis skoliosis are fast becoming an epidemic coupled with its skyrocketing socioeconomic burden, the need for an effective form of the non-invasive, non-surgical procedure has never been greater. It is time for a change; the practitioners need it, and the patients are demanding it!
For those keen on research, we have provided the list of articles used in preparing for this case study. Also, we have provided links to two of these references. You may cut and paste into Google Scholar to search the rest of these research articles. Should you need additional clarifications or information about our proven slipped disc treatment options, please call our main center at 03 Skip to content. Case Presentation Of Severe Herniated Disc Extruded Disc We will thoroughly discuss two cases of patients presented with severe and debilitating back pain caused by large extruded and partially fragmented discs.
First Case Presentation Of A Severe Extruded Disc: A year-old male of German origin is suffering from constant, severe lower back pain that radiated to the posterior and postero-lateral aspects of the right thigh and leg.
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