17/11/2025
Case Study 1 Physiotherapy
Understanding L5–S1 disc extrusion through a physiotherapist’s perspective
The L5–S1 disc plays an important role in spinal load distribution and lumbopelvic stability. When it becomes extruded or bulged, it can compress nearby nerve roots, often leading to sciatica, numbness, tingling, or weakness down the leg. Physiotherapy focuses on restoring movement, improving stability, reducing pain, and supporting long term spine health.
Physiotherapy Management Focus:
• Pain control using gentle neural mobilizations, electrotherapy, and postural unloading techniques
• Core stabilization by strengthening deep stabilizers such as the transversus abdominis and multifidus
• Movement re education to correct faulty biomechanics and promote safe daily movement patterns
• Gradual loading through progressive strengthening to rebuild functional capacity
• Patient education on posture correction, ergonomics, and long term self management strategies
With structured rehabilitation and consistent therapy, many individuals return to active, pain free living. Through a physiotherapist’s eye, the goal is not just recovery but resilience.