Status:Closed Asked:Oct 03, 2014 - 03:15 PM
hello,my client has lower back disc bulge problem so he taking medications and he does regular exercise and in his
hello,my client has lower back disc bulge problem so he taking medications and he does regular exercise and in his work program iam making him to do bird dog,cat camel strecth,,side plank,front plank,stir the pot , curl up with hand under lumber region,kneeling rope crunches with resistance and my question to you is
1.is that appropriate for him to make kneeling rope cruches if not please tell me the reason because i feel this exercise doesnot stress the structure of spine so please respond to my question
2.he has time only in the mornining for 30 minutes so can he do these exercises but ace pt manual says disc are more hydrated early in the morning so can he do those exercises in the early morning.
In general, the direction of the herniation in the disc will determine which movements will create an adverse reaction. The direction the disc is bulging in can be very sensitive so any exercise that pushes that bulge a little farther out will typically create a symptomatic response (since you’re kind of “increasing” the herniation.)
It seems like you’re doing enough other exercises that you could keep using the rope crunch exercise or eliminate it and the results your client gets will likely not differ very much. Your combination of the bird dog, cat-camel, the planks, stir the pot, etc. are providing enough stability in all directions for the lumbar spine so keeping the rope crunches or eliminating them will likely have little effect on the results.
As long as your client is not experiencing a symptomatic response from the rope crunches, there is likely no problem with continuing to do them.
Your second question about the hydration in discs has more relevance for the type of exercises you might use in the morning. More hydrated discs are fuller and thus typically limit range of motion a little – this is partially why our backs typically feel “stiff” in the morning. As such, you may want to avoid significant flexion of the spine. Again, most of the exercises you are already using are likely not going to cause a problem since they focus on spinal stability rather than flexing the spine through a large range of motion.
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