Back In Shape Podcast

Who Should You Actually See For A Herniated Disc Or Sciatica?

Back In Shape Podcast

Show Notes

Before you book another appointment for your herniated disc or sciatica, there's a simple test worth running at home — and it might change what you do next. If you've already got a diagnosis — an L5/S1 or L4/L5 herniated disc, a slipped disc, a disc bulge, sciatica — and you've already seen a string of clinicians, this session is for you. It isn't about the person who's just woken up with a bad back and needs answers; that person does need an opinion. It's about the far more common case: you've got the information, you've had the scans, you've had the appointments, and you're wondering whether one more consultation is what finally turns things around. 🎓 Join the Back In Shape Program: https://backinshapeprogram.com We start with the test: can you do the dead bug, the marching bridge, the squat, the hip hinge, the step-up and the single-leg hip hinge without aggravating your symptoms? If lying on the floor and moving one leg sets your sciatica off, that tells you something important — and it also tells you what a trip across town is likely to cost you, because getting dressed, sitting in the car and getting out again all load the injured segment far more than the appointment will unload it. We walk through four tiers of help, from figuring it out yourself to the thing nobody can actually buy, and why a program sits above a weekly appointment — assuming, in every case, a genuinely good clinician. Then the part that matters most: when a consultation really is worth your money. Along the way: nerve pain after surgery, how strength actually protects a spine, whether degenerative disc disease is a dead end, and when flexion comes back in.

🔑 Key Topics Covered 🧪 The test to run before you book anything: can you do the six exercises — dead bug, marching bridge, squat, hip hinge, step-up, single-leg hip hinge — aggravation-free, with good technique? If not, that's the gap. And it's a gap another appointment doesn't close. ⏱️ The problem with a weekly appointment: a half-hour session is a fraction of one per cent of your week. However good it is, you're asking it to offset the other ninety-nine per cent — the hours where you're getting in and out of chairs, beds and cars with an injured spine. 🏠 Recovery is won at home: nothing in your back changes during a consultation. What changes is what you know and what you then do, every day, for the rest of the week. That's why the education and the doing have to come first. 🎯 When a consultation IS worth it: once you've built a baseline — you can control your spine, you're loading the squat and hip hinge properly — a conversation about getting back to hiking, skiing, running or the garden is genuinely valuable. That's the best return on your money, and it comes later than you'd think.

Chapters 00:00 Who should you see for a herniated disc or sciatica? 00:24 First, a test: can you do these six exercises? 02:03 What another opinion actually changes 04:27 The journey to the appointment is the risk 06:03 You don't need special exercises for your diagnosis 11:15 Four tiers of help, from makeshift to comprehensive 13:00 Tier two: the clinician, and the fraction-of-a-week problem 14:54 Tier three: why a program beats an appointment 17:21 The top tier — and why recovery is won at home 18:57 When a consultation is genuinely worth your money 21:45 Nerve pain after surgery: finding the aggravation 27:36 Why your rehab is the safest part of your day 29:54 Getting weaker while you wait 34:51 How strength protects the spine (the orchestra) 40:09 Why a spine deconditions — and how it rebuilds 42:42 Ask your clinician: "how is this helping me?" 47:45 Is degenerative disc disease really a dead end? 49:21 Priming vs strengthening (and don't mobilise your spine) 57:24 When can you add flexion back in? 1:03:06 Checking your hip range of motion

#HerniatedDisc #Sciatica #BackInShape #SlippedDisc #DiscBulge #BackPainRelief #LowerBackPain #SpinalRehab

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