Disc Herniation and Radicular Low Back Pain EVIDENCE BASED GUIDE for Physical Therapists P6 – FPF Show Episode 105

By dpope2020

October 13, 2023

back pain, back pain diagnosis, back pain treatment, dan pope, dermatomal testing, dermatomes, dermatomes testing l1 - s2, dermatomes testing of the lower limb, fitness pain free, herniated disc, herniated disc diagnostic, herniated disc recovery, low back pain, low back pain diagnosis, low back pain physical therapy, lower back pain, lower limb dermatomes, physical therapy, physiotherapy, physiotherapy for back pain, radiculopathy examination

Disc Herniation and Radicular Low Back Pain EVIDENCE BASED GUIDE for Physical Therapists P6 - FPF Show Episode 105

To go along with today's episode I have a nice infographic to share...

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In today's video we go over a Disc Herniation and Radicular Low Back Pain EVIDENCE BASED GUIDE for Physical Therapists P6 – FPF Show Episode 105: 

  • 0:00 Introduction
  • 0:38 What are the most evidence based physical therapy treatments for chronic low back pain with leg pain? (JOSPT CPG)
  • 1:44 How strong is the current evidence we have on treating patients with chronic low back pain with leg pain?
  • 2:53 How beneficial are stability and motor control exercises for patients with radicular low back pain?
  • 4:12 How beneficial are neural mobility exercises (sliders / tensioners) for patients with radicular low back pain?
  • 7:38 How beneficial are McKenzie exercises for patients with radicular low back pain?
  • 11:14 Is McKenzie the gold standard treatment for radicular low back pain and better then other treatments?
  • 13:09 Are injections beneficial for radicular low back pain? (epidural, steroid)
  • 15:11 Is surgery effective for radicular low back pain and disc herniation? (microdiscectomy)
  • 16:40 Surgery vs. exercise - What is most effective?
  • 18:15 Surgery vs. Injections - What is most effective?
  • 19:28 When should surgery be an option for patients with radicular low back pain and disc herniation?
  • 21:27 What should be your treatment plan for patients with radicular low back pain and disc herniation?

Feels like a lightning bolt just fired down my leg...

- Dan Pope DPT,OCS,CSCS

Show Notes / Relevant Articles:

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Thank you!

Dan Pope DPT, OCS, CSCS

References: 

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Images:

  1. Intervertebral disc: Source: https://commons.wikimedia.org/wiki/File:716_Intervertebral_Disk.jpg attribution: OpenStax College, CC BY 3.0 <https://creativecommons.org/licenses/by/3.0>, via Wikimedia Commons
  2. Herniated disc: source: https://commons.wikimedia.org/wiki/File:728_Herniated_Disk.jpg attribution: OpenStax College, CC BY 3.0 <https://creativecommons.org/licenses/by/3.0>, via Wikimedia Commons
  3. Functional Spinal Unit: source: https://commons.wikimedia.org/wiki/File:Functional_spinal_unit_(FSU).webp attribution: Irina Nefedova, CC BY 4.0 <https://creativecommons.org/licenses/by/4.0>, via Wikimedia Commons
  4. Spinal Canal: source: https://commons.wikimedia.org/wiki/File:Spinal_canal.webp attribution:Irina Nefedova, CC BY 4.0 <https://creativecommons.org/licenses/by/4.0>, via Wikimedia Commons
  5. Dermatomes: source: https://commons.wikimedia.org/wiki/File:Dermatomes_labeled,_female_front-back_3d-shaded.svg attribution: Goran_tek-en, CC BY-SA 4.0 <https://creativecommons.org/licenses/by-sa/4.0>, via Wikimedia Commons
  6. Epidural: Source: https://commons.wikimedia.org/wiki/File:Epidural_Anesthesia.png Attribution: BruceBlaus, CC BY-SA 4.0 <https://creativecommons.org/licenses/by-sa/4.0>, via Wikimedia Commons Modified by Fitness Pain Free LLC