Physiotherapy Blog. Sharing knowledge & Encouraging growth.

The bigger the bulge the better

June 20, 2016 by Sian Smale

Disc bulges are often associated with negative thoughts about prognosis and recovery and it can be challenging to educate our patients about their ability to recover. A systematic review was published in 2014 that shows how extrusions and sequestrations have a higher probability of spontaneous regressions. The bigger the bulge the better.

Reducible discogenic low back pain

March 20, 2015 by Sian Smale in Clinical reasoning, Pain mechanism, Case Study, Low back pain, Discogenic pain, Pain education, Patient education

A previous blog has explored the initial assessment of acute lower back pain presenting with radicular leg pain. This is a sequel post which explores the management pathway from day 1-3 on a patient with discogenic low back pain with radicular leg pain. It specifically focuses on when I chose to retrain lumbar flexion range of movement and the steps taken.