I have a disc problem that has been diagnosed by MRI. Can I be helped by physiotherapy?
When a disc problem is diagnosed through imagery, one of the roles of the initial physiotherapy assessment is to decide if these findings correlate with the clinical picture. In an average pain free population, some people present with disc pathology on MRI. This is why it is so important to treat the clinical signs and symptoms of the patient and not the radiology finding. Disc problems present in many different ways. Some patients will have back pain only, others will have leg pain from nerve irritation and others will have both. No recipe exists for treatment and everyone's condition must be treated individually. Physiotherapy is often very helpful for patients presenting with disc problems. Only those with severe, unrelenting symptoms and with positive neurological findings that are not responding to conservative treatment may need to have surgery. There should always be a trial of conservative treatment prior to any surgical decision and physiotherapy is a very good and safe option.