19 Year old with Subacute back pain,aggravated with walking and relieved with rest

DISC RELATED BACK PAIN 
APPROACH AND RESTORATION OF NORMALCY


Seeing his on and off pain,and finally her mother  has to drag him from gym where he was ready to ignore his radiating pain.

Young adults are so fascinated about gym obsessed with bloated up curvish body that they go to any extent.

What made me alert is positive Crossed leg SLR and SLR rt leg 30 degree. Reduced knee Jerk(L3-4),EHL power is within normal limits.

history revealed his weight lifting acts.

Look at the graph above to appreciate how bad is lifting weight for our disc.

The Posterior (back wall) is thinnest at Lumbar level,So constant pressure of nucleus populous on the annulus fibrosis first make bulge then herniate and press the exiting nerve roots,Which becomes cause of sciatica.

When we rest in prone (face down and bhujangasana ) the bulge retracts in,and wall of annulus fibrosus get a chance to heal.

So rest from "provoking" factors are MOST ESSENTIAL  ingredient of treatment programme.

 Provoking mean those actions which increases intradiscal pressure.

I saw all 99.0% patients through with their problems of pain,sciatica,listing. )1% are those who could not comply with advises of  active rest or restricted activity.

Residual pain was treated with neural stretching exercises.

BEST EXERCISE or POSE TO REST IS ↓ YOU CAN PROGRESS THROUGH ALL THE FOLLOWING STAGES ONE B Y ONE starting from top to bottom image.

Here in this video you can see how you should lift heavy things.

• My observation has consolidated a lot in last 20 years on disc problems whether acute or chronic.
• In fact to be more precise I would say I treated severe and aggravated cases with this this new understandings on discs. 
• Proper discipline and increased understanding of us regarding disc has led to much improved result now with much  lesser bed rest.
• Earlier I used to go to home after referral from orthopedic for putting patients on 10 days of continuous traction. MEANS STRICT BED REST FOR 7 TO 10 days  with bed pan for toilet activities.