When the jelly-like substance between one or several vertebrae bulges causing increased spinal pressure, this is known as a lumbar disc protrusion.
The three main causes typically occur from prolonged, forceful and/or repetitive movements including (1) bending forward, (2) sitting down with poor posture and (3) lifting and/or twisting.
Signs & Symptoms:
Moderate to severe, dull, central aching lower back pain, and associated leg symptoms when severe.
Rest for the first 24 hours to reduce pain and pressure on the disc. Thereafter early education about pacing activity and manual treatment for pain, followed with range of motion, core and functional exercise.
6 to 12 weeks of intensive rehabilitation is typically required combined with appropriate medication, progressive core strengthening, and education for ongoing management.