Originally Posted by
Dave Longley
Greetings
I’ve been helping a guy with his NLP. Couldn’t deadlift 135lbs when he started due to his lower back pain. All his lifts have gone up, squatting 315 and now deadlifting 355 all for sets of 5 along with weight gain of 30+ lbs.
Alas, his back pain remains. Dull ache, occasional leg numbness.
Convinced him to get an MRI which showed:
“L5-S1 disc some degeneration and has a rather large left paracentral extruded soft prolapse which gives minor S1 encroachment and also encroaches the left S2 nerve with minor left thecal sac effacement.
The overlying discs appear intact. No stenosis anywhere.
The conus appears intact
The posterior elements appear intact. No inflammatory spondyloarthropathy or sinister feature.
Conclusion
Large left L5-S1 disc prolapse”
I’d post photos but I don’t know how. He works a manual job and plays hockey, which has resulted in a worsening of his pain.
Can you give any guidance as how best to proceed?
Thanks for your time.