The lumbar region is the part of the spine, which is exposed to the heaviest loads. The lumbar pain decreases significantly the quality of life of the patients. It is one of the most common reasons for the visits to the outpatient units of physiotherapy.
Herniated lumbar disc is a bulging of the degenerated content of the gel-like cartilage found between the lumbar vertebras. Herniated discs may compress the spinal nerves. They may cause paresis and muscle weakness in legs and feet along with pain in hip and waist. In severe cases, gait difficulties, urinary incontinence, and weakness in legs may accompany these symptoms.
The lumbar pain in patients with herniated disc occurs as a sharp and knife-like pain spreading from the waist to the legs. 90% of the herniated discs are at the level of L4-L5 and L5-S1. Regarding the diagnosis, MRI is the most useful examination method in patients with suitable clinical findings observed during the physiotherapeutic examination.
The lumbar region is exposed to continuous loads during the movements like bending, turning to the right and left side, and load lifting. Currently, lumbar pain is the most common public health problem. The treatment is planned by the physiatrist according to the severity of the herniation, findings during the physical examination and the severity of pain. Regarding the treatment, methods like analgesics, muscle relaxants, physiotherapy, spinal decompression, manual therapy, prolotherapy, PRP, neuraltherapy, needle treatment, dry needling can be used.