Quote Originally Posted by KnottedYet View Post
Flexion is only bad if someone has a posterior disc bulge, and only 60% of back pain is caused by posterior disc bulges.

There is no such thing as "McKenzie exercises" because there is no one single "McKenzie" approach to joint derangement.

One person's corrective motion is another person's re-derangement motion.

Berkeley - if you've been doing something for months with no lasting results, then it is the wrong thing. Whoever gave you those "McKenzie exercises" either didn't know what they were doing, or hasn't heard from you how they are working and been able to modify them to get you the correct motion to push your unique and particular bulge back into place. (I'm assuming you are doing the motion 10 times every 2 hours, avoiding your deranging direction, correcting your posture, engaging your core at all times, and have not progressed)

People aren't cookie-cutter xerox copies of each other, and neither are painful backs, and neither are corrective motions.
I absolutely agree - which is why I said following the McKenzie method has not helped me - it is quite possible that it won't work for all who experience back pain. And the people I've seen have been instrumental in getting me from being completely unable to do anything to at least functional - so I do trust that they know what the're doing. I loved my PT - it's a teaching facility at the local university and I've seen them several times for other issues.

If she has nerve root impingement, I still don't think riding a bike is a good idea. She did say it was lateral and impinging a nerve root to me would mean biking riding would be difficult until she can get it worked out. Not to mention, flexion itself can be very hard on the back - bulging disc or not. Just my two cents there. YMMV.

I have a ruptured/herniated disc - there is no "pushing it back in". Perhaps this is true in the case where the disc is "just" bulging. Following good body mechanics will make it not continue to ooze the good stuff out of the disc, and critical in order to stop the degeneration.

As an aside, probably the most frustrating thing for me in dealing with this has been when people think it's just a matter of doing X and then everything will be all better - if only it was that easy. Eight months of physical therapy, seeing multiple people in the practice (one who is McKenzie certified), and every other alternative method short of surgery.... I'm much better, but not anywhere near 100%. It is a hard thing to deal with, mentally.

I do appreciate the insight everyone has given me over the year, but just because yoga/inversion table/acupunture/this exercise/that exercise/surgery helped someone, doesn't mean that it will help everyone. It's a very difficult thing in all of this - knowing what advice to follow, what to do, who to listen to, etc..... even beyond the should I have surgery or not? big question, there are a lot of little questions that bog you down.