NMM Disc herniation viva

Question 1

what are the benefits of using gentle PA mobilisations for the Lx?

Answer 1

• reduces pain and stiffness
• Improves intervertebral joint mobility
• alleviates muscle guarding

Question 2

why do PA mobilisations for 3 sets at 30-60 seconds at each level?

Answer 2

It offers sufficient stimulus to encourage mobility without stressing the nerve

Question 3

what are the benefits of using sciatic nerve glides?

Answer 3

• relieves radicular pain
• reduces neural tension
• promotes nerve mobility

Question 4

why do nerve glides for 3 sets of 10 reps?

Answer 4

• offers sufficient stimulus to encourage mobility without over-stressing the nerve
• Gradual and controlled repetitions help desensitise the nervous system

Question 5

what advice would we give this lady?

Answer 5

• use hot and cold therapy
• modify activities
• maintain proper posture
• Perform gentle stretching exercises
• perform basic strengthening exercises for back
• consider sleeping position

Question 6

what 3 home exercises would you give her?

Answer 6

1. McKenzie’s method
2. Pelvic Tilts/ Abdominal Bracing- 6 reps with 5s hold, 3 sets
3. Figure of 4 stretch- hold for 60 secs (to get to plastic region)

Question 7

what is the benefit of doing the figure of 4 stretch

Answer 7

helps to relieve pain and flexibility in the hip and lower back

Question 8

how does the McKenzies method work?

Answer 8

The NP is drawn back towards the spine through this targeted exercise
Aims to strengthen the surrounding muscles and structures to prevent re-injury maintain disc health

Question 9

what is the benefit of doing pelvic tilts/abdominal bracing?

Answer 9

improves mobility while stretching and strengthening the multifidus and abdominals