The herniated disc

The presence of a herniated disc or a bulging disc or a slipped disc (are interchangeable terms) is undoubtedly an expression of a mechanical disorder in place.

One must consider the fact that the intervertebral disc is designed to withstand pressures of the order of hundred pounds, but after suffering an effort an adequate recovery time is needed in order to return to its initial state.

Generally, recovery takes place during the night when the person is lying: experience shows that the best moments are in the morning and evening.

herniated disc osteopathy Genova
Ejected herniated disc
Mancini-Morlacchi, Clinica ortopedica
Piccin, pag.133

The moment an osteopathic lesion causes the approach of two vertebrae in a permanent manner the disc between them is subjected to a minor but constant pressure that never grants him a chance of recovery.

In the course of time it will inevitably encounter a degeneration.

The solution in such cases cannot be targeted only to the care of the disc but must also take into account the cause of this degeneration.

As proof of this we must consider that the patients treated only for the disc pathology keep on having symptoms that continue to recur.

To avoid such unpleasant situations, it is necessary to get to a mechanical balancing that necessarily involves the whole skeletal framework.

Osteopathy is in these cases an elective method for treatment as it uses specific tests to identify the restrictions of mobility and precise techniques to restore mobility where missing.

Very often after an osteopathic intervention it is not necessary to undergo other treatments for herniated discs because, eliminating tensions between the vertebrae, the disc spontaneously recovers its physiology over time.

An example case: 37-year-old construction worker suffering from chronic low back pain and bearing numerous herniations in the lumbar area, including a massive level of L5-S1.

In osteopathic terms he showed good mobility at the lumbar level but he also presented a major sacral torsion, the main lesional focus were at the level of the palatine bone that occurred right in external rotation and at the level of the first metatarsal bone, right in superiority. So there was a restriction on the palate to the right and a restriction on the right foot.

Once these problems have been solved, the torsion of the sacrum has disappeared completely.

It was revised after a week to discover thatit was completely unlocked and the back pain was significantly decreased. He was able to work without interruption and reported no side issues.

Incidentally, a herniated disc can not return to its seat in a week.

The conclusion is that, in this case, the hernia could not in any way be the cause of back pain. The most likely hypothesis is that both the hernia and the back pain were expressions of a mechanical disorder in place for years.

Once mechanical framework has been fixed, the pain disappeared almost immediately, the hernia returned in its seat within a few months.

The herniated disc is very often a false target: sometimes even very bulky or expelled hernias are not the primary cause of painful symptoms.

For this reason, a review of osteopathic skeletal mechanics is always desirable before embarking on any local therapy.