Microdiscectomy :: Do’s and Dont’s post Op

Microdiscectomy is a minimally invasive surgical procedure performed to reduce pressure when a herniated lumbar disc compresses a nerve.  Your surgeon will remove a part of the herniated disc to relieve pressure on the spinal nerve.  Here are a few tips to be aware of after your surgery:-



– Posture is important particularly maintaining the natural curve of the lumbar spine (a rolled up hand towel can be useful!)

– Avoid rotating, twisting and bending forward using your lower back

– Lift only light objects if necessary (2kgs or less)

– Limit prolonged sitting and standing postures

– Sleeping on your side is preferred, try using pillow under lower back or between knees, make sure to support the neck as well

Scoliosis Treatment

Did you know that Idiopathic scoliosis may develop at any time during childhood. It is most common in periods of growth spurts, between the ages of 6 and 24 months, 5 and 8 years and 11 and 14 years of life. We can treat Scoliosis with manual therapy but more importantly, teach patients how to self correct with self correction exercises.

Lateral Shift Review

Last week a patient presented with chronic low back pain. She has tried lots of different treatment modalities. She handed me her xrays which showed a lumbar scoliosis.

I treated her with wall side glides only, no manual treatment. She presented back yesterday self reporting at least a 60% improvement in one week. If you know you have a lumbar scoliosis or side shift give this movement a go.

Lets throw back to March 2012 when I uploaded a video on Margaret doing the movement.

If your unsure, please see your health care professional!!

Why do we need strong glutes???

Strong glutes.  Why do we need them?

When was the last time you saw a health care professional for low back pain and they recommended to you that you needed to strengthen your glutes?  Probably never…  Most low back talk these days is focused on a strong core or low back strength but rarely specifically just about strong glute muscles.


In short there are three main muscles that make up the “glutes”.  Gluteus Maximus, Medius and Minimus.  The glutes are anatomically responsible for extending your hip (standing up and moving your leg straight back behind your body). 


But the functional activities that the glutes are used for are much more important.  Standing, walking, running, sitting, squatting, and bending.   When you think about it sitting up and down from a chair, getting in and out of your car, bending or squatting to pick up your child’s toy are all activities in which the glutes activate.  And lets not forget the postural component of your glutes.  Strong glutes will assist your pelvis to sit correctly and give positive positioning for your sacrum and spine.



So its unfortunate that when you experience low back pain and need to rely on other body parts to help that our strongest, largest, most functional group of muscles let us down…

Without over complicating things, you don’t need glutes like Ronnie Coleman (below) to protect and help your back, however you do need glutes that turn on and off as required and give maximum support for your body. 

In my next blog I will set out a glute strengthening program that will give you stability, strength and at worst a sexy set of buns…..












Lateral Shift Corrected! No Pain!


When a lateral shift is treated correctly this is the outcome.  No Pain! Full Range! Full Function!

Lateral Shift Day Three. After Manual Therapy


Lateral Shift: Day three After Manual Therapy…. Manual therapy has again increased Range.  Spine moving better. I will now give Margret 3-4 days at home to do her exercises and allow the injury to recover.


Home exercises are now dynamic extension.


Lateral Shift Day Three. Testing Extension before manual therapy

Lateral Shift: Day three…. Patient now able to extend her spine in prone lying.  We will now proceed with extension movements for a disc derangement.   Range of motion continues to increase.


Home exercises are now dynamic extension.

Lateral Shift Day three. Initial Presentation.


Lateral Shift: Day three …. Range of motion has now increased dramatically.  The disc is shifting and Margret is ready for shifting the disc a new direction.





Lateral Shift Day 2 cont…

Lateral Shift: Day two cont…. Patient still unable to flex or extend her spine in standing position.  HOWEVER we have been able to achieve prone static extension with slight lateral shift of the lips.  Pain is still sharp, however disappears when in static extension… Range of motion continues to increase.


Home exercises are now static extension.

Lateral Shift Day 2

Lateral Shift: Day two. Patient still unable to flex or extend her spine in standing position. Pain is sharp and debilitating. Range of motion is increasing, which is my main goal. Exercises are going well.


We tried lying prone to see if we can get some extension…