Thanks. I am seeing from McKenzie method others recommend that potentially i need to first confirm if I have a bulging disc before I do these type exercises. Right now it is seeming like I might so if I am tracking I need to get that sorted through different stretches before I progress to these otherwise I could just make it worse which I may have been doing.
How old are you?
Biggest mistake I see with McKenzie is trying to extend too much. At the point where you get relief then stop at that position. Don’t try to extend further. Facet joint arthritis is definitely a limiting factor.
The original McKenzie was based on disc injuries in 20 year olds so very few with arthritis. I find that in the presence of lumbar spine arthritis that extending too far can cause worsening pain.
99.5% of sciatica is from a disc injury without a doubt.
Due to insurance constraints, I send patients to therapy for McKenzie and then only get an MRI in the ones that don’t improve.
As only 5% truly need spine surgery, it’s an excellent first step in treatment.
If you can get a doc to prescribe a double Medrol dose pack then definitely add that to the therapy. I have found that the 12 day taper works better than the 6 day taper. Take the whole days worth with breakfast. Works better than spreading it out all day and significantly reduces the side effects.
Day 1: 6 pills
Day 2: 6 pills
Day 3: 5 pills
Day 4: 5 pills
Day 5: 4 pills
Day 6: 4 pills
Day 7: 3 pills
Day 8: 3 pills
Day 9: 2 pills
Day 10: 2 pills
Day 11: 1 pill
Day 12: 1 pill
The key to McKenzie is to do it at least twice per day every day without fail. I find that the static position works just as well as the dynamic position. Static position is easier to maintain.
Don’t stop when you feel all better. That’s the biggest mistake and setup to recurrent disc injury. If you stop at the end of pain, then the healing disc scar is as strong as a sheet of plywood. It’s okay until you become more active again, but it is easily re-injured. Continuing McKenzie twice daily for 4 months after the pain is gone will help you build a stronger scar that will be the equivalent of a double thick brick wall.
Hope that helps.