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Can I Go to the Gym with a Herniated Disc?

    

8.13 - Can I Go to the Gym with a Herniated Disc

Herniated Disc and Exercise: A Guide to Safe Gym Workouts and Recovery

A herniated disc occurs when the soft inner material of a spinal disc pushes through a crack in the outer layer, potentially pressing on nearby nerves. This condition affects millions of people worldwide and often raises concerns about continuing physical activity. The good news is that exercise, when done correctly, can actually help patients manage symptoms and promote healing.

Many people assume a herniated disc diagnosis means the end of their gym routine. However, this could not be further from the truth. With proper modifications and professional guidance, most individuals with herniated discs can maintain active lifestyles while supporting their recovery. In this article, we will explore the benefits of exercise for herniated discs as well as how to work out safely if you have a herniated disc.

The Benefits of Exercise for Herniated Discs

Regular exercise offers numerous benefits for people dealing with herniated discs. Physical activity strengthens the muscles that support the spine, reducing pressure on the affected disc. It also increases flexibility, enhances blood flow to the injured area, and promotes the healing process.

Exercise also plays a crucial role in pain management. When you engage in appropriate physical activity, your body releases endorphins, which are natural pain relievers. Additionally, staying active prevents the muscle weakness and stiffness that often develop when people become sedentary due to back pain.

Maintaining cardiovascular fitness is equally important. A strong cardiovascular system ensures healing nutrients reach the injured disc more effectively while also supporting overall health and wellbeing during recovery.

Safe Exercises for Herniated Discs

When you are dealing with a herniated disc, certain exercises are particularly beneficial and safe. Walking is one of the best low-impact activities you can do. It promotes blood flow, strengthens your core muscles, and helps you maintain mobility without placing excessive stress on your spine.

Swimming and water aerobics are excellent options because water provides natural support for your body weight while allowing for full range of motion. The buoyancy reduces pressure on your spine while still providing resistance for muscle strengthening.

Core strengthening exercises are essential, but they must be performed correctly. Planks, modified planks, and “dead bug” exercises can help you build core stability without flexing your spine excessively. These exercises create a natural brace around your spine, providing better support for the injured disc.

Gentle stretching exercises, particularly those that promote spinal extension, can relieve pressure on the disc. Cat-cow stretches, gentle backbends, sciatica stretches, and hip flexor stretches are often beneficial. However, the specific stretches that work best can vary depending on the location and severity of your herniation.

Exercises to Avoid

Certain movements can aggravate a herniated disc and should be avoided, especially during the acute phase of injury. High-impact activities like running on hard surfaces, jumping, or contact sports can jar the spine and worsen symptoms.

Heavy lifting exercises, particularly those involving forward bending or twisting motions, should be avoided. This includes exercises like deadlifts, bent-over rows, and sit-ups. These movements can increase pressure within the disc and potentially cause further damage.

Toe touches and other forward flexion exercises are generally not recommended for herniated discs. These movements can push the disc material further toward the spinal canal, potentially increasing nerve compression and pain.

Activities that involve sudden, jerky movements or rapid changes in direction should also be avoided. This includes certain sports, high-intensity interval training with explosive movements, and exercises that require quick pivoting or twisting motions.

Getting Started: Your First Steps Back to the Gym

Before returning to the gym, it is crucial to get clearance from your healthcare provider. The doctor can assess your specific condition and provide personalized recommendations based on the location and severity of your herniation.

Start slowly and listen to your body. Begin with gentle movements and gradually increase intensity as your tolerance improves. Pain should never be your guide for how much exercise to do. Instead, focus on maintaining good form and staying within comfortable ranges of motion.

Consider working with a physical therapist or qualified trainer who has experience with spinal conditions. The professional can teach you proper form, help you modify exercises, and create a progressive program tailored to your needs.

Creating a Herniated Disc-Friendly Workout Routine

A well-rounded exercise program for someone with a herniated disc should include cardiovascular exercise, strength training, and flexibility work. Aim for 20–30 minutes of low-impact cardio several times per week, focusing on activities like walking, swimming, or using an elliptical machine.

For strength training, emphasize exercises that maintain neutral spine alignment. These includes modified squats, lunges with proper form, and upper body exercises performed while seated or lying down. Always prioritize core strengthening, since a strong core provides crucial support for the spine.

Include flexibility and mobility work in your routine, but avoid aggressive stretching. Gentle yoga or tai chi can be beneficial, but inform your instructor about your condition so he or she can provide appropriate modifications.

When to Seek Professional Help

While many people with herniated discs can exercise safely, certain warning signs indicate the need for immediate medical attention. If you experience severe pain, numbness, weakness in your legs, or loss of bladder or bowel control, seek emergency medical care immediately.

Progressive weakness or worsening symptoms despite following a conservative exercise program also warrant professional evaluation. Your healthcare provider may need to reassess your condition and potentially modify your treatment approach.

Remember that recovery from a herniated disc takes time, and everyone’s journey is different. Stay patient with the process, remain consistent with your exercise routine, and maintain open communication with your healthcare team throughout your recovery.

If you have a herniated disc that is not responding to conservative treatment, a discectomy may be discussed and potentially recommended. Although this is generally a very successful procedure, having a large hole in the outer ring of the disc more than doubles the risk of needing another operation. A new treatment, Barricaid, is a bone-anchored device that closes this hole, and 95 percent of Barricaid patients did not undergo a reoperation due to reherniation in a 2-year study timeframe. This treatment is done immediately following the discectomy—during the same operation—and does not require any additional incisions or time in the hospital. 

If you have any questions about the Barricaid treatment, ask your doctor or contact us today.

For full benefit/risk information, please visit: https://www.barricaid.com/instruct

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