TG: L4-L5 disc herniation in a wrestler: SHOSA patient (2-19-19)

  • 6-19 Updates
    • Braces
      • https://www.amazon.com/Back-Brace-Sparthos-Breathable-Adjustable/dp/B071G33DC1/ref=sr_1_11?keywords=lumbar%2Bsupport&qid=1560961489&s=gateway&sr=8-11&th=1
      • https://www.amazon.com/BraceUP-Stabilizing-Support-Adjustable-Breathable/dp/B00ZN0HZ78/ref=sxin_11_osp20-31bc0d15_cov?ascsubtag=31bc0d15-d9eb-42e8-aaf7-505671a81c43&creativeASIN=B00ZN0HZ78&cv_ct_id=amzn1.osp.31bc0d15-d9eb-42e8-aaf7-505671a81c43&cv_ct_pg=search&cv_ct_wn=osp-search&keywords=lumbar%2Bsupport&linkCode=oas&pd_rd_i=B00ZN0HZ78&pd_rd_r=d04fbd4f-93dc-4521-94e5-45c4a9c174e6&pd_rd_w=bHtJa&pd_rd_wg=4Cjm4&pf_rd_p=c501273b-119a-4fc9-ad78-eda5006b0be9&pf_rd_r=3HXNHNJH7PEMYP7Y8DE7&qid=1560961489&s=gateway&tag=bestcont06-20&th=1
      • https://www.amazon.com/Lower-Back-Brace-FlexGuard-Support/dp/B07GXZXQQ4/ref=sr_1_16?keywords=lumbar%2Bsupport&qid=1560961489&s=gateway&sr=8-16&th=1
    • For the next 2 weeks do the following
      • Lying on the right side: R arm under your head with towel between head and arm, top leg straight and bottom knee bent, reach top arm overhead as you take a deep breathe in….repeat this 5 -10x, then lay in that position 1-2 min, repaeat 2-3x
      • Rocking hands and knees…this can be done on both sides
      • Lying on stomach 1-2 minutes
      • Walking 2x/day
    • Phase 2: will begin at week 3
      • Do the above plus the bands every other day for a week
      • If that is fine the following week add the weighted pullover
      • If that is fine the following week add the slider on the right leg only
    • Phase 3: we will discuss
    • If you are feeling in phase even a little tightness or in phase 1 if you are still having pain: Try inversion table: Start 6-8 minute: 1min, come up for 30sec,: 10-15 minute max
  • 6-7 Updates below in BOLD
    • We discussed making sure you remain active but try to avoid any movements that you feel stress the low back in a painful way
    • We added a couple things to your daily list
      • Lying on the right side: R arm under your head with towel between head and arm, top leg straight and bottom knee bent, reach top arm overhead as you take a deep breathe in….repeat this 5 -10x, then lay in that position 1-2 min, repaeat 2-3x
      • slider on hands and knees: start off just doing it with your right leg 10-15x and maybe 5x with the left leg as that way is more painful
  • 5-9-19 Program Update Circuits/
    • Warm Up/ Daily Movements
    • Strength Circuits
      • Circut #1
      • Circuit #2
      • Circuit #3
  •  3-3-19
    • Hold on knee to chest and bridge and hold on leg lift over ball if painful, Try to add reach back over ball
  •  2-25-19
    • weight pullover
    • Knee to chest start with the left only and progress to the right when not painful
    • Bridge: only if able to do short of pinch
  •  2-19-19
    • Focus on light movements that improve symptoms
    • Movement #1: hands on chair rocking, 10-15 reps
    • Movement #2: Lying on stomach with pillow for 4-5 minutes
    • Movement #3: heelraise at wall, 2-3x per day, 10-15 reps
    • Movement #4: Leg lift over bed/table or ball/ottoman
      • If this is increasing pain, stop doing it
      • Try for 5-10 reps alternating legs