Dr. Vaishali Suri (P.T.)
Lumbar Disc Herniation: The Facts
A lumbar disc herniation occurs when the inner nucleus pulposus of an intervertebral disc pushes through the outer annulus fibrosus, potentially compressing adjacent nerve roots. It is one of the most common causes of serious back and leg pain in adults. The most important fact -- that patients often don't hear -- is that 90% of lumbar disc herniations resolve without surgery, with appropriate physiotherapy.
Natural History of Disc Herniation
Research shows that disc herniations resorb (shrink) naturally over time through a process of macrophage phagocytosis. Large, sequestered (completely extruded) herniations actually resorb faster and more completely than smaller contained herniations. On average, 70% of disc herniations show significant resorption on repeat MRI at 12 months. This natural resolution is accelerated by physiotherapy and maintained activity -- not bed rest.
Physiotherapy Treatment
McKenzie Method
The McKenzie method identifies a "directional preference" -- typically lumbar extension -- that centralises pain (moves pain from the leg toward the lower back) and accelerates recovery. We systematically assess directional preference and prescribe appropriate directional exercises that the patient performs independently many times per day. This is one of the most evidence-based approaches for disc herniation.
Neural Mobilisation
Sciatic nerve mobilisation techniques reduce the neural tension and sensitisation that perpetuate leg pain and disability beyond the mechanical compression phase.
Core Stabilisation
Deep lumbar stabiliser training (multifidus, transversus abdominis) prevents recurrent disc stress that perpetuates herniation and prevents recurrence.
Disc Herniation Treatment in Faridabad
At Realign Rehab Clinic, NIT-5, Faridabad, we help disc patients recover without surgery. Book your assessment today.