I have developed slip discs between my L4-L5 and L5-S1 position of back bone. The problem was detected in 2010. Now I am 60 years old. Occasionally I am facing sciatic pain issues during which I need to be in bed rest. Please suggest some remedies including the do's and don't'd. Thank you

Ans: Dear Mr Skt. Thank you for your query.

As a physiotherapist, I understand how challenging slip discs (L4-L5 & L5-S1) can be, especially with recurring sciatic pain. Managing this condition requires a combination of professional physiotherapy and consistent home care. Physiotherapy is crucial, it helps reduce pain without surgery, prevents recurrence by strengthening core and spinal muscles, and improves mobility for long term relief. I strongly recommend attending 10-15 physiotherapy sessions at a nearby clinic, where you’ll receive manual therapy, targeted exercises (like McKenzie extensions or Williams flexions, depending on what eases your pain), sciatic nerve glides, and postural training. These sessions will also teach you safe exercises to continue at home, such as gentle stretches and strengthening.

At home, avoid forward bending, heavy lifting, or prolonged sitting/standing, take breaks every 30 minutes. Use a lumbar support pillow while sitting and sleep in a back-friendly position (either on your side with a pillow between your knees or on your back with a pillow under your knees). Staying active with controlled movements is key, but avoid high-impact activities like jumping.

Commit to the initial physiotherapy sessions, then maintain your exercises regularly at home. Consistency is vital for recovery and preventing flare ups. Wishing you a quick recovery! Stay patient and diligent your efforts will make a difference.