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Physical Medicine

Lumbar Disc Herniation and Low Back Pain Rehabilitation

Examination, exercise and physiotherapy plan for low back pain and pain spreading to the leg.

What is it?

Low back pain is very common and may arise from muscles, joints or discs. In disc herniation, disc material can press on a nerve root and cause pain and numbness spreading to the leg.

The examination covers how the pain started, which movements worsen it and any nerve signs. Imaging is requested when needed, but not every back pain requires it.

Rehabilitation may include exercise, physical modalities and daily-life advice. Response differs between people; the plan is set after examination and updated at check-ups.

Who is it assessed for?

  • People with low back pain lasting several weeks
  • People with pain or numbness spreading to the leg
  • People with a disc herniation diagnosis managed without surgery
  • People needing a movement programme after back surgery
  • People who sit or stand for long periods at work

Step by step

  1. 1

    Examination

    Pain history is taken and a neurological and musculoskeletal examination performed.

  2. 2

    Tests

    Imaging or nerve conduction studies are requested if needed.

  3. 3

    Plan

    Session count and exercise content are set according to your complaint.

  4. 4

    Sessions

    Exercise and suitable treatments are carried out with a physiotherapist.

  5. 5

    Review

    Progress is assessed and the home programme updated.

Questions

Does a disc herniation always need surgery?

No. Many people are managed without surgery. The suitable route is assessed based on examination findings.

Can I exercise while in pain?

The type and intensity of exercise are set at the examination. Consult your physician about movements that clearly increase pain.

When should I seek urgent care?

Changes in bladder or bowel control or rapidly worsening leg weakness require prompt emergency assessment.

This page is for general information and does not replace a medical examination. Results and the suitable approach vary from person to person.