Prolapse Disc/ PID / Slipped Disc
1. What is causing the pain and how did I get it?
The disc technically does not slipped. The human spine is made up of a column of bones (vertebral) separated by discs. Every disc is made up of 2 layers of materials: a outer ring of fibrous and tough tissue and a inner jelly-like core. Due to the way we move, how we sit, the sports or activities we do every day, we may be unknowingly stressing one or two discs all the time. For example, a mother with newborn child has to suddenly do a lot of activities like bending over to change nappies etc., can repetitively stress her lower back / disc.
Similarly, someone who sits in a poor position can put a lot of stress on a particular disc daily. A stressed disc can develop little cracks in the outer layer, and this can be painful. This may give you general low back pain. If the person continues with the provocative activity, the cracks can progress deeper to reach the core. The core being more jelly like, can make its way through the cracks and into the surrounding tissue. At this point the disc has prolapsed. This can cause extreme pain because the jelly like core can impinge onto nerve etc., giving pain down the legs.
2. How can physiotherapy help?
Depending on the severity of the pain, low back pain is sometimes best managed with medication, physiotherapy and most importantly, the patient full comprehension of their condition.
Physiotherapy will cover the followings:
- Postural awareness
- Taping to improve posture
- Release of tight and overuse muscles with Shockwave Therapy or self-trigger point release technique
- Clinical pilates
- Recruitment, activation and strengthening of specific trunk muscles ie. core
3. How can I help?
Back pain is best treated right from the moment you feel some discomfort. The physiotherapist will be able to point out to you how your lifestyle, ergonomics or your sports activity is stressing your spine. Most importantly, you must understand your condition. Once you do, healing will be a lot better
4. How long will it take to recover? (ie. prognosis)
A stressed back/ disc usually can heal within 6 to 8 weeks. This depends on how severe the disc is injured.