In Brief About Lumbar Disc Protrusion in the Patient complaning of lumbar back pain with Lower Limb radiating pain

4.  SYMPTOMS:-
 Lumbar Back Pain
 Radiating Leg Pain
 Weakness And Paresthesia
 Numbness

5. - Lasegue’s Test/Passive SLRT Positive.
- Tripod Test/Flip Sign Positive.
- Contralateral SLR Positive-Pathognomic
SIGNS:-
- Marked Paraspinal Spasm
- Scoliosis Or List in Lumbar spine
- Loss Of Normal Lumbar Lordosis
- Tenderness Over The Spinous Process
- SLRT Positive

6.  Thorough Clinical Examination.
 Plain Roentogenogram(X-Ray) to rule Out
Infection ,Tumours,Other anamolies etc.
 Magnetic Resonance Imaging –Most Useful
 Less Used- Mylography
CT.

12.  Non-Operative:-
 Rx ranges from Rest to Expensive Traction
Apparatus.
 Rest:- Bed rest in Semi-fowler position (Both
Hips and Knees Flxed)

13. - Non-steroidal AntiInflammatory
Drugs(NSAIDs) to relieve Pain
-Ice Application to Relieve spasm.
- Encourage the patiebt with Isometric
abdominal And Lower Extrimity
Excercises.
-Walking within limits of comfort
-Sitting like Car driving is discouraged.

14. Are we Going back To our Origin.........?….?

16.  Education in Proper posture and Body
Mechanics Mainly Back Education
In Combination with physical therapy
Superior To Placebo Treatment.

17.  For Lumbar Disc we Do Extension
Excercises That Relieve the Pressure over
the Disc
McKenzie Excercises

19. Stretching to Reduce Low Back Pain
1) Pelvic Tilt

20. 2)Active hamstring Stretch:-

21. 4)Trunk Stbility:-

22. Angry Cat Stretch

24. Prone Straight Leg Raising

25.  Transcutaneous Electric Nerve Stimulation

26. - Traction
- Ultra sound
- Diathermy
- Scientific Efficacy Has Not been
Proved