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If you have been attending appointments for lower back pain or sciatica for months without seeing progress, it is easy to feel broken. However, the issue is rarely your body; it is often the strategy. The term "physio" is frequently used as a catch-all that defaults to passive treatments—like massage or simple relief work—rather than the active, strength-based rehabilitation required for true recovery. While passive care has its place, relying on it as the main solution for a herniated disc leaves the underlying mechanical failure unaddressed. Many generic exercise printouts fall into the "bendy-twisty" trap, prescribing knee-to-chest stretches and repeated lumbar flexion. For someone with a disc injury, this is essentially picking the scab and worsening the irritation. True structured rehabilitation is not a random shopping list of stretches—it is a progression. It begins with establishing control of a neutral spine and utilising relief strategies like towel decompression, followed by targeted phases to build load tolerance through movements like the squat and hip hinge. Ultimately, overcoming a herniated disc requires unwavering consistency and a shift in perspective. Think of your spinal resilience like a bank balance. When you are injured, your account is deeply in the negative. Consistent, daily rehabilitation makes small deposits of strength. You might quickly feel better and reach a positive balance, but if you immediately attempt a "heavy purchase"—like a demanding physical activity—without having built sufficient capacity, your card will be declined, resulting in a flare-up. Progress comes from months of good habits, not occasional heroic efforts. Key Topics Covered 🚫 The "Physio" Definition Problem: Physio is often a catch-all term that confuses passive treatments with active rehab. While hands-on relief work feels good, it cannot replace the strength-based rehabilitation needed to heal tissues. ⚠️The "Bendy-Twisty" Trap: Generic printouts often prescribe repeated lumbar flexion, such as knee hugs or pelvic tilts. We do not glorify deep spinal flexion, as it often exacerbates disc injuries and delays true healing. 🏗️ Daycare vs. Structured Rehabilitation: A random sheet of exercises acts like daycare for adults with back pain. True recovery relies on a structured framework: mastering spinal stability first, then systematically building strength and load tolerance. 🏦 The Bank Balance Analogy: Recovery requires consistent daily effort to force the body to adapt. You must continuously make "deposits" of strength through rehabilitation to afford the heavy "purchases" of daily life without triggering a flare-up. Chapters 00:00 Introduction 02:25 The Problem with the Term "Physio" 04:40 The Generic "Bendy-Twisty" Exercise Trap 06:40 What Structured Rehabilitation Actually Looks Like 08:15 The Brutal Truth About Patient Consistency 11:15 Congenital Abnormalities and Degenerative Discs 20:10 Squats vs. Hip Hinges for Lower Back Pain 28:50 Why You Need Rehab Alongside Hands-On Treatment 36:25 Starting Rehab During an Acute Flare-Up 56:50 The Bank Balance Analogy for Back Pain Recovery #HerniatedDisc #Sciatica #BackPainRelief