Bulging Disc L5/S1: The 5 Best Exercises (Explained in Detail)

HT Physio – Over-Fifties Specialist Physio26 minutes read

A bulging disc at the L5 S1 level can cause various symptoms like sciatica and weakness in the legs, with conservative measures like physiotherapy being effective in 95% of cases. Specific exercises targeting the L5 S1 region, like the Cobra and Seated Forward Tilt, can improve blood flow, mobility, and reduce pain for individuals with bulging discs.

Insights

  • Bulging discs at the L5 S1 level can cause a range of symptoms such as sciatica, back pain, numbness, and weakness in the legs due to nerve compression resulting from the disc's protrusion.
  • Conservative treatments like physiotherapy and specific exercises targeting the L5 S1 region can effectively manage bulging disc cases, promoting healing, improving mobility, and reducing pain, but individual variations and professional guidance are crucial for safe and tailored care.

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Recent questions

  • What are common symptoms of a bulging disc at L5 S1?

    A bulging disc at the L5 S1 level can cause symptoms such as sciatica, back pain, buttock pain, pins and needles, numbness, and weakness in the legs. These symptoms may start suddenly or develop slowly over time, often triggered by movements like bending forward.

  • How can physiotherapy help treat a bulging disc at L5 S1?

    Physiotherapy can be beneficial in treating a bulging disc at the L5 S1 level by encouraging healing and correct movements. Conservative measures like physiotherapy can help in 95% of cases, promoting healing and reducing pain associated with the condition.

  • What exercises can target the L5 S1 region for pain relief?

    Specific exercises like the Cobra exercise and Seated Forward Tilt exercise can target the L5 S1 region to improve range of motion, promote blood flow for healing, and reduce pain. These exercises are recommended for individuals with a bulging disc but should be done under the guidance of a healthcare professional.

  • How can nerve flossing help reduce leg pain from a bulging disc?

    Nerve flossing is aimed at the sciatic nerve's health and involves alternating between lifting the head and shoulders and the painful leg to reduce leg pain. By performing this movement correctly and consistently, individuals can help alleviate leg pain associated with a bulging disc at L5 S1.

  • What is the fibular head exercise and how does it help with leg pain from a bulging disc?

    The fibular head exercise involves gently pushing the bone forward while rocking the leg, aiming to reduce leg pain and improve nerve sensitivity. This exercise targets the fibular head to alleviate leg pain caused by a bulging disc at L5 S1, providing relief and promoting healing in the affected area.

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Summary

00:00

Managing L5 S1 Bulging Disc Pain

  • Bulging disc at L5 S1 level can cause sciatica, back pain, buttock pain, pins and needles, numbness, and weakness in the legs.
  • A bulging disc occurs when the fluid center of the disc pushes out through weaknesses in the outer layers, pressing on a nerve and causing pain.
  • L5 S1 bulging disc symptoms can start suddenly or develop slowly over time, often due to bending forward or other movements.
  • Conservative measures like physiotherapy can help treat 95% of bulging disc cases by encouraging healing and correct movements.
  • L5 S1 is the most commonly injured disc due to its location at the base of the spine and the transition point between different vertebrae shapes.
  • Specific exercises can target the L5 S1 region to improve range of motion, promote blood flow for healing, and reduce pain.
  • The Cobra exercise is recommended for improving blood flow to the injured disc and restoring spinal mobility by leaning back.
  • The Seated Forward Tilt exercise helps loosen the spine by performing pelvic tilting movements while seated, improving movement and blood flow.
  • These exercises may not be suitable for everyone with a bulging disc, and it's essential to consult a healthcare professional before attempting them.
  • The five exercises shown are commonly prescribed for bulging discs but may not be the only effective ones, and individual variations may be necessary for each case.

14:52

Spine Mobility Exercises for Office Workers

  • Performing exercises to improve blood flow and mobility in the spine is beneficial for individuals who sit for extended periods, like office workers.
  • Wool side Glides, part of the McKenzie method for treating sciatica, enhance lower spine mobility and reduce leg pain sensitivity.
  • To execute wool side Glides, stand with the non-painful side next to a wall, lean diagonally against it, and glide the non-painful hip towards the wall.
  • Nerve flossing, aimed at the sciatic nerve's health, involves alternating between lifting the head and shoulders and the painful leg to reduce leg pain.
  • For nerve flossing, perform the movement correctly to avoid excessive tension, alternating between leg and head positions for about 30 seconds, three times a day.
  • A unique exercise targets the fibular head to alleviate L5 or S1 bulging disc leg pain by gently pushing the bone forward for 30 seconds, reducing nerve pain.
  • The fibular head exercise involves pushing the bone forward while gently rocking the leg, aiming to reduce leg pain and improve nerve sensitivity.
  • Regularly performing these exercises, including wool side Glides, nerve flossing, and fibular head targeting, can aid in reducing leg pain from bulging discs at L5 or S1.
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