Categorizing disc troubles

The simplest and most utilitarian way to categorize disc-issues is with provocative/relieving motion tests and a detailed history. I deduce that there are generally (3) disc types:

  1. Herniation g. derangement of the nucleus pressurizing & distorting the outer annulus, either contained or ‘broken-thru’ and either constrained by the PLL or not. This is your “young man/woman’s’ disc” typically with a DP (when contained: pain to-the-knee) or full blown Sciatic issues (pain thru foot with neurologic issues). Back pain for sure but lots of leg/hip/butt/foot issues as well…mitigated with key-motions and traction.
  2. Discogenic/degenerative/Internal-disc-disruption: The standard finding in the “recalcitrant” class of cLBP, the “persnickety” back and the long-standing “bad backers’”. Typically no discernible DP and predominate back-pain issues.
  3. “Other” disc issues:g. one-off or recurrent low back “sprains”, motion disorders or peripheral structure-involvements. Form-closure/repositioning motions help in the case of “disorders” NOT primarily from a ligament tear or contusion.

The bending & distraction tests remain the gold-standard determining whether the “bulge” is a protrusion, extrusion or circumferential/degenerative/flat-tire bulge.

Number (1) allows us potential “draw-in” and re-arrangement with traction and facilitated motions (typically extension or lateral).

Number (2) is to the greatest degree a palliative, nutrition and ergonomic/education responder.

Sprains are luckily VERY disconcerting but typically fully healed within the 12 week time frame (often with or without treatment) and palliative, “hope-full” treatments, that “first DO NO harm” are most beneficial while innate does her job.    

0 replies

Leave a Reply

Want to join the discussion?
Feel free to contribute!

Leave a Reply

Your email address will not be published. Required fields are marked *