Physiotherapy has a major role in spinal pain treatment. It teaches how to condition your body to prevent further injury and help in the recovery of a painful episode. There are a variety of physical therapy techniques. Passive and active treatments.

Physiotherapy has a role to play in the management of Back pain, Locked back, Stiff back, Leg pain, Sciatica, Stiffness in back, Numbness in legs, and weakness in legs and difficulty in walking due to spinal problems. For such symptoms, one should meet the spinal doctor for consultation before meeting a physiotherapist.

Spinal problems which can cause symptoms of Back pain , locked back , stiff back, Leg pain, Sciatica, stiffness in back, Numbness in legs, and weakness in legs and difficulty in walking are SLIP DISC, Bulge Disc, Lumbar spine stenosis, SPINAL STENOSIS, SPONDYLOLISTHESIS, SPINAL TRAUMA, MUSCLE SPRAIN, NERVE PULL, etc . For such symptoms, one should meet the spinal specialist/spine surgeon for consultation before meeting a physiotherapist.

What are the non surgical options in slip disc / Disc Bulge ?

Normally the type of non-surgical treatment is decided based on the duration and severity of symptoms in consultation with your spine surgeon / spinal surgeon the options available for slip disc treatment are:-

Medicines – NSAIDS/ Muscle relaxant / Pregabalin / TCA,S /non opiod analgesics.
Hot fomentation.
Cold sponging.
Physical therapy.
TENS
SWD

However before one resorts to any option one should have advise of spine specialist.

These options of non-surgical management of slip disc are available at Spine Clinic Mumbai –best spine clinic in Mumbai for treatment of slip disc. Dr. Vishal Kundnani is the best spine consultant in Mumbai and is available on appointment in Mumbai on appointment for spine specialist. Dr. Vishal Kundnani is the best spine specialist in Mumbai and best spinal consultation Goregaon, Kandiwali and Malad.

Is physiotherapy useful in slip discslip disc / Disc Bulge/Lumbar spine stenosis , SPINAL STENOSIS ?

Yes. Physiotherapy has a major role in Slip Disc, Lumbar spinal stenosis, SPINAL STENOSIStreatment.Physiotherapy shall be done in the supervision of a spine doctor and spinal specialist as it teaches how to condition your body to prevent further injury and help in the recovery of the painful episode. Physiotherapy shall be taken in supervision and guidance of spine specialist.

Dr. Vishal Kundnani is the best Spine Specialist for slip disc in Mumbai and is available on appointment in Mumbai on appointment for spine specialist. Dr. Vishal Kundnani is the best spine Minimal invasive spine specialist in Mumbai and best Minimal Invasive spinal Surgeon in Goregaon, Malad, and Kandivali.

What is physiotherapy for Slip Disc / Herniated disc / Disc Herniation ?

Physiotherapy has a major role in spinal slip disc treatment. It teaches how to condition your body to prevent further injury and help in the recovery of the painful episode. There are a variety of physical therapy techniques. Passive and active treatments.
Passive treatments relax your body and include deep tissue massage, hot and cold therapy, electrical stimulation (TENS), and hydrotherapy. Active treatment involves active stretching and strengthening exercises trunk stability, core strengthening.

Exercises or physical treatments should not be done without proper supervision of physiotherapists and in consultation with spinal specialist and spine doctor.

Passive Treatments:

Deep Tissue Massage: Deep tissue massage relieves deep muscle tension and spasms, which develop to prevent muscle motion at the affected area.
Hot and Cold Therapy: Both hot and cold therapies offer their own set of benefits, and your physical therapist may alternate between them to get the best results. This reduces inflammation, muscle spasms, and pain.
Hydrotherapy/Aquatherapy: gently relieves pain and relaxes muscles.
TENS (transcutaneous electrical nerve stimulation): uses electrical current to stimulate your muscles and reduces muscle spasms and is generally believed to trigger the release of endorphins, which are your body’s natural pain killers. TENS machine stimulates your muscles through variable (but safe) intensities of electrical current. TENS may increase your body’s production of endorphins, your natural pain killers. The TENS equipment your physical therapist uses is larger than the “at home” use machine.
Ultrasound for spine: By increasing blood circulation, an ultrasound helps reduce muscle cramping, swelling, stiffness, and pain. It does this by sending sound waves deep into your muscle tissues, creating a gentle heat that enhances circulation and healing.
Lumbar Traction: reduce the effects of gravity on the spine. The intent is to reduce the disc herniation and is usually performed in the cervical or lumbar spine.

ActiveTreatments:Help to reduce recurrent pain but will also benefit your overall health.

Exercises should not be done without proper supervision of physiotherapists and in consultation with spinal specialist and spine doctor.

Core stability: Many people don’t realize how important a strong core is to their spinal health. Your core (abdominal) muscles help your back muscles support your spine.
Pilates: When your core muscles are weak, it puts extra pressure on your back muscles. Your physical therapist may teach you to core stabilizing exercises to strengthen your back.
Flexibility: Learning proper stretching and flexibility techniques will prepare you for aerobic and strength exercises. Flexibility helps your body move easier by warding off stiffness.
Muscle strengthening: Strong muscles are a great support system for your spine and better handle pain and strengthening of muscles which can cause your back stretches and strengthening along with pelvic tilt, which helps you find a neutral spine position.

Dr. Vishal Kundnani is the best spine surgeon for back pain and leg pain. Stiff back and locked back are treated by Dr. Vishal Kundnani, available in Spine clinic Mumbai. Dr. Vishal Kundnani is the best spine specialist with a considerate approach to patients with honest opinion and ethical spine practice.

When Should one stop physiotherapy ? When should physiotherapy not be done ?

Physiotherapy shall be started and stopped in consultation with a spinal doctor for back pain, leg pain. Spine specialist decides on when to start and when to stop physiotherapy. Most patients respond well to non-surgical treatments. However one should stop once.

No response to non-surgical treatments or pain increase in less than 3 weeks.
Progressive pain, numbness, and tingling in the arms or legs.
Loss of power sensation in your arms or legs.
Loss bowel or bladder control.

Surgery may be indicated in such cases . Consult spinal specialists on option of spine surgery .:-

Various options of spine surgery include conventional open spine surgery and minimally invasive spine surgery or MIS surgery for Slip Disc / Herniated disc. These options of surgical management of slip disc and spinal stenosis are available at Spine Clinic Mumbai – Best Spine Clinic in Mumbai for treatment of slip disc and spinal stenosis.

Dr. Vishal Kundnani is the best spine consultant in Mumbai and is available on appointment in Mumbai on appointment for spine specialist. Dr. Vishal Kundnani is the best Spine Minimal invasive spine specialist in Mumbai and best Minimal Invasive Spinal Surgeon in Goregaon, Malad and Kandivali.

What are the exercises that help in SLIP DISC / BULGE DISC / DISC BULGE / NERVE COMPRESSION / SPINAL STENOSIS?

Exercises should not be done without proper supervision of physiotherapists and in consultation with spinal specialist.

To mobilize the spinal segment and to correct the postural distortion, to strengthen the extensor muscles of the back and the muscles of the shoulder blades and to develop the pectoral muscles.
How to do it : Always, if possible, on a hard surface, with a thin carpet.

Note : Please Do all the movements as slow as possible!

Exercises Options: