What is a Disc Herniation? Can It Heal? Do You NEED Surgery? (Myths | Education | Rehab | Exercise)

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In this video, I answer 5 questions about disc herniations.
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Intro (0:00)
What is a disc herniation? (0:15)
Can a disc herniation heal? (1:18)
Do MRIs tell the whole story? (1:41)
Do you NEED surgery? (3:18)
What can you do for yourself? (4:36)
Summary (6:06)
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Disclaimer: The information presented is not intended as medical advice or to be a substitute for medical counseling but intended for entertainment purposes only. If you are experiencing pain, please seek the appropriate healthcare professional.

Опубликовано:

17 май 2024

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Комментарии : 64

@E3Rehab 2 года назад

If you're looking for the references, be sure to check out the blog! e3rehab.com/blog/discherniations/

@SuperSancheski 2 года назад

I’m a physiotherapist from Spain. Just wanted to tell you are one of the best discoveries I’ve ever done to improve my knowledge. Thanks for helping in my career, the level of your videos is just amazing. So updated and scientific based info. It’s a pleasure to watch such a good content… for free!

@E3Rehab 2 года назад

Glad we can help!

@AmbitionClinic 2 года назад

I agree. Such a great channel.

@natashanonnattive4818 2 года назад

Agree

@soSAt15 2 года назад

I agree!

@rcytb 8 месяцев назад

The best research-based PT advice on the internet. Thank you!

@davidnyman6968 2 года назад

Really great info, as usual. I try to get this all in in my evals, if I have the time. Will definitely refer my patients to this video.

@tc-3 2 года назад

Great video. Thank you guys for presenting valuable information in such a coherent and concise format.

@philipkim9779 2 года назад

Thank you for great helpful information.

@joconnell3473 2 года назад

Great video! I’m a physician specializing in spine (PM&R) and state these facts often. I use the term “improve” instead of heal as most of the disc is avascular and doesn’t return to its normal architecture.

@E3Rehab 2 года назад

Appreciate it! And thanks for the insight!

@davidjanbaz7728 2 года назад

@@E3Rehab I was able to pump my disc on a back machine sitting sideways and flexing away from the painful side to increase blood flow and the pain went down in a two week period from a 8-10 with morphine to a 2 and was able to discontinue pain meds. This was after P. T. and 3 shots into the disc space each with less effect. As a PTA I was able to use information of pumping the disc from a P.T.'s book in an unconventional manner but it's the only way the pain decreased and I have been pain free for 14 years now.

@alessandraferrara240 2 года назад

was shocked to find out that an hernia can.heal itself .l feel actually very stupid because l always said to my client that it is impossible. Please could you explain further? He said it is reversible and you said it isn't really.

@joconnell3473 2 года назад

@@alessandraferrara240 basically the herniation can reduce in size so it’s no longer compressing or irritating the nerve but the disc never returns to its normal architecture where a nucleus is completely contained in an intact annulus. On an axial MRI you may see less disc material in the canal or the foramen but you are unlikely to see completely normal nucleus/annulus architecture. Practically, it’s very rare to do a follow up MRI unless symptoms remain or occur at another spinal level.

@alessandraferrara240 2 года назад

@@joconnell3473 Thank you. That's a great explanation.

@olitonottero7620 Год назад

Thanks for sharing this !!

@fitwu 2 года назад

great info as always!

@CHUNKYNUGGET666 Год назад

Great video, trust this guy and take heed to the small things. This is pretty much my daily mantra! There’s no short cuts believe me, I’ve tried finding them! You’ll need to push through a hard beginning stage, if you push past the pain and swelling you then need to maintain it forever more! I promise it’s much less painful when your body is strong with bad joints, weak with bad joints is hell!

@KatJ3st 2 года назад

Good advice! My chiro looked at my spinal xray and asked me when I had my accident? I said I don't remember having one. He said - looks like you sure did! He gave me posture strength training exercises, adjustments and spinal decompression. I feel fantastic.

@MsHenryoh 10 месяцев назад

Thanks a ton, from a patient's perspective there is no education or hope given just habit-forming medications given and little to no hope you have to go out and seek and youtube has opened my eyes to the ability to heal and become normal.

@saimaphysio2 8 месяцев назад

your teaching methods are second to none. As a physio, I love to go through your presentation how well organised it its, just for my patients . you are the best teacher for the physio community and patients. regards ❤👑

@Wayf4rer 2 года назад

In case anyone is wondering what it feels like to have a herniation/bulge, it sucks. A lot.

@Rick-se5qm 2 года назад

Felt like fire shooting from my foot, at least 3'.

@hbate7515 2 года назад

Thank you very much!!!

@aguywhohikes1271 2 года назад

Terrific video man! I think you might enjoy the CRISP (clinical reasoning in spine pain protocols) by Dr. Don Murphy. I use those with Mckenzie for my disc derangement patients and have seen terrific results. Thanks again man, great presentation.

@omaralaa6967 Год назад

Thank you.

@emf3391 2 года назад

Thank you doctor you've been a great help. Can you explain about the neck ( twice accidental neck whiplashes on different occasions ) and an "imbalance shoulder", pain, and "crooked spine". A practitioner nurse chuck me off as having sciatica from the "lower back" problem. I don't have a lower back problem. When standing the pain triggers from, the "neck" from prolong head leaning forward, triggering pain straight down both legs. The pain begins and ends from the "neck" to both legs and feet gradually numbing the feet.

@Jakobguldager70 2 года назад

Excellent! Are you guys concidering doing more videos on non specific and or persistant LBP?

@E3Rehab 2 года назад

Upcoming videos on lumbar spinal stenosis and spondylolisthesis

@leemack7399 Год назад

Can you do a video on disc herniation and facet artharopathy in Lower lumbar spine for me thanks

@artfilatov 2 года назад

Thanks

@K_N_K1236 День назад

Hello, PT student here. Just a quick question… You said herniated discs CAN heal on their own. Are you referring to healing as having no pain and a returned state of mobility and strength or are you referring to the actual disc returning to its original state prior to injury? I’ve read several case studies indicating that the pain and injury just becomes asymptomatic in most cases, yet the actual disc retains its tear and is easily re-injured. Just trying to learn, obviously willing to be proved wrong. Thanks for the videos, love the content!

@trudydenoyer4648 2 года назад

What about thoracic herniations? MRI showed I have two herniated discs in my thoracic spine.

@nekomanz Год назад

If I have a crazy amount of pain trying to get up should I get up and walk around dispite the pain?

@djVania08 2 года назад

Any exercise resources aside walking and the posturing?

@agrotech_6047 Год назад

Can I share MRI report for your suggestions where surgery is required or not

@mikeballew3207 2 года назад

Are there any exercises you'd recommend avoiding?

@thecount1001 Год назад

chewitall, wangitall, and gosh dang it, damitall. back issues suck.

@furqantayyabkiani 2 года назад

Plz make a video on pars defect..

@E3Rehab 2 года назад

Working on it!

@user-md5fm7bk6w 2 года назад

I am not sure wether i have a disk bulge or herniation. I must admit that i have overtrained myself in the gym and rounded my back once when picking up some dumbells (i know i'm stupid) and since then my back was tight for a couple days, then it was painful for 2 weeks and now i could say that the pain reduce to beyond minimal/zero. Any ideas on my matter? I am very worried and keep thinking of the worst scenarios.

@user-md5fm7bk6w 2 года назад

I must mention that i felt no pain down my leg, no numbness. only lower back pain. also weirdly enough, some testicle pain on that side of the back pain. I got myself checked out for an inguinal hernia and doctor said it was all fine, now i'm thinking it's something wrong with my spine or disks

@refatrabadi6656 2 года назад

@@user-md5fm7bk6w Me too, I have a pain in the right testicle. Now I believe it’s from left herniated L4-L5disk . I had abdominal and a right inguinal repair and right testicle still lingers on pulling and stabbing. Urologist examined and nothing was injured in the area. I took the epidural shot and will be taking my second shot soon . Sciatia pain is less almost gone but still tightness and leg weakness in the left side . And still pain on the right testicle . Hope I can avoid recommended microdiscectomy surgery. How are you feeling now ? Hope you are doing well.

@user-md5fm7bk6w 2 года назад

@@refatrabadi6656Testicle pain is zero to none. However my back still upsets me quite a lot and my doctor thinks it's sciatica but not the herniation of a disk apparently. Just currently taking naproxen as an anti inflammatory and hoping all is going to be well as i continue growing and developing (i'm nearly 17)

@refatrabadi6656 2 года назад

@@user-md5fm7bk6w good luck and be safe. Stay strong!!

@garrett3726 2 года назад

Does the literature state how long it typically takes for a herniation to heal?

@E3Rehab 2 года назад

It varies, but I wouldn't recommend repeat imaging to assess the degree of resorption/regression because the MRI findings don't necessarily correlate with symptoms/function. The goal is an improvement in symptoms and function, not a change on the MRI. How long does an improvement in symptoms and function take? Also variable. Our podcast episode with Tom Jesson is a valuable listen.

@garrett3726 2 года назад

@@E3Rehab sounds good. Thanks

@wzephier6716 2 года назад

Can an inversion table help with disc herniation?

@E3Rehab 2 года назад

Anything can potentially help, but I wouldn't go out of my way to find/buy an inversion table.

@eddybrevet6816 Год назад

Did 4 me, twice in fact, crutches 2 get around , first time, already had herniated disc 10 years

@thehammer810able 2 года назад

Well I had a disc herniation and the surgery and I'll tell u by experience. I had a L-5 disc herniation from October and didn't know it was a herniated disc after the MRI in November. I was told to get the injection in my spine or surgery. I took the injection. It had little affect after a few days pain in the sciatica was severe still. I seen my surgeon again for a follow up and they didn't want to push surgery on me and I didn't want to do surgery because of the risk and recovery process. Fast forward to January of this year my disc ruptured out the blue. Went and got microdisctomy surgery and my sciatica was completely gone. I'm 5 weeks post surgery and I've beeb cleared to start doing activities again. RU-vid videos say u can heal without surgery but they fail to say the timeline for it to heal which is 6 months to a year it takes for the body to reabsorption of the herniated disc. It's faster to just do the surgery. I wish I would of done it sooner than waste months of hope to heal with time being in pain and agony from the sciatica.

@artsmatter2 2 года назад

You're right. It takes longer to recover through the bodies own ability. And there are many ways that you can delay your recovery through poor posture and position, over or under activity, poor nutrition, stress, etc. You also seem to have had the type of occurrence that responds the best to surgery - a sudden onset. Most changes in discs occur slowly over time. When it happens suddenly - out of the blue - and you remove the portion of the disc causing the problem you often get the good recovery you are experiencing. You made the right decision for your condition. You should be pleased.

@abhistraj4284 2 месяца назад

👍👍👍👍

@furiousdoe7779 Год назад

Much too late ….. surgeons are soo long filling their pockets and making the damage worse.

@eddybrevet6816 Год назад

If relieves pain, try traction or decompression

@cutratecontractor1000 2 года назад

2:15 stupid ore's

@cutratecontractor1000 2 года назад

For black lovers

@RXP91 2 года назад

Love the way you present the data. Blood Cholesterol is a risk factor for discs (www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC3175866/). The discs are super sensitive to any impairment in blood flow - which is likely why as you age there's more herniation and there's even data that children have low back disc herniation now days.

@natashanonnattive4818 2 года назад

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