Osteopathic Management for Lumbar Disc Herniation

Post from Mario Luis González, DP, MSc (Ost), Eur Ost DO

LOW BACK PAIN Low back pain and neuropathy of disc origin are pathologies of great recurrence in any medical consultation, physiotherapy and osteopathy. Among the wide range of therapies available for this condition, osteopathy and its different models have demonstrated their effectiveness in numerous scientific studies and can be an initial and long-term alternative to surgery. However, the diagnosis of "lumbago" is very non-specific and hides several clinical sub-entities that should be recognized.

LUMBAR DISC PATHOLOGY The management of lumbar disc pathology and its many variants requires the practitioner's ability to first establish a critical and precise differential diagnosis while integrating knowledge of anatomy, neurology, biomechanics, disc kinematics, etc. This requires him to be highly knowledgeable about the various types of disc disease, exam patterns and specific treatment strategies to achieve optimal results. Being effective while being aware of the contraindications and limitations when treating the different types of low back pain is a significant challenge. Disc pathology is the local consequence of a series of alterations in physiological patterns. this concept directs us to manage it conservatively by integrating multiple diagnostic and therapeutic strategies in line with clinical evidence and diagnostic imaging. For the osteopath it becomes fundamental to approach the various systems, functions and structures in order to glimpse a pattern of evaluation and personalized treatment in the three planes of space. Recognizing the different types and origins of pain, identifying referred and projected pain, glimpsing the existence of central sensitization phenomena are essential elements of clinical reasoning in the face of pseudodiscogenic pain. The acquisition of specific manual skills makes it possible to obtain efficiency, precision and specificity when caring for patients with lumbar disc symptoms. If you want to know more, join us in the following course: Osteopathic Management of Lumbar Discopathies