Many people ask about what a rehab program would look like for someone with low back pain that is thought to be associated with a disc herniation. While I am happy to provide some options, there are a few very important points to keep in mind.
A diagnosis does not dictate the treatment plan. Rehab is not a protocol based process. Rehab for low back pain, regardless of the potential contributing tissues (if any can be identified), is based on the individual’s unique symptoms. As clinicians, we look to determine which factors aggravate one’s symptom and which ones alleviate symptoms.
Most people with a disc herniation would likely never know that they have one. Why? Having an MRI without very specific neurological symptoms is not useful and has actually been shown to worsen clinical outcomes in some cases, which is why they are usually not ordered right away. Seeing something ’abnormal’ on an MRI that may or may not be associated with one’s current symptoms can create fear an
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