Question asked by Gigi Gregory 327 days ago
What are the best theraputic exercises for a very over weight person with a herniated disk in the lumbar region of the back?
This person has been under the care of an orthopedic surgeon and had 3 months of physical therapy. She now is seeing a chiropractor, and an acupuncturist.
Answers (5)
1
With this particular individual I would have to say the best theraputic exercise is to walk to a physical therapist office and make an appointment. :-)
Answered by Danielle Vindez
327 days ago
ExpertMemberVerified
0
Hi Gigi
As personal trainers we are not qualified to recommend exercises of a therapeutic or healing nature as we are not in the business of diagnosing and prescribing exercise for injuries. Perhaps your best approach, for you and your client, is to ask her physician for a release to exercise and ask for any contraindications. You may want to also speak with the chiropractor. After you have gather this information you will be better informed to design your program.
Danielle
As personal trainers we are not qualified to recommend exercises of a therapeutic or healing nature as we are not in the business of diagnosing and prescribing exercise for injuries. Perhaps your best approach, for you and your client, is to ask her physician for a release to exercise and ask for any contraindications. You may want to also speak with the chiropractor. After you have gather this information you will be better informed to design your program.
Danielle
Hi Danielle,
My client has been released by her physician and by her chiropractor to start exercising, there concern is her weight and the way she carry's it. They both feel the weight loss would give her some relief. My focus is her diet. I am aware of what not to do with this person when designing her program, I was actually more interested in hearing if anyone had any great tips on exercises when working with this type of client. She is only in pain when she sits for long periods of time. It has been my experience that using a Pilates Reformer with people that have low back pain has helpful, but I have not used that method with someone who has a herniated disk problem. Any thoughts on that?
Gigi
My client has been released by her physician and by her chiropractor to start exercising, there concern is her weight and the way she carry's it. They both feel the weight loss would give her some relief. My focus is her diet. I am aware of what not to do with this person when designing her program, I was actually more interested in hearing if anyone had any great tips on exercises when working with this type of client. She is only in pain when she sits for long periods of time. It has been my experience that using a Pilates Reformer with people that have low back pain has helpful, but I have not used that method with someone who has a herniated disk problem. Any thoughts on that?
Gigi
Comment by Gigi Gregory 327 days ago
Hi Gigi
Thanks for your response and asking me for my take. Have you worked with stability balls?
I actually train many over weight cients, some suffering from lower back challenges successfully with balls. Squats performed against the wall with the ball, crunches on the ball, lower back strengthening with the ball, ROM on the ball. Also standing, or ball seated, tubing exercises, wall crunches, wall pushups, etc. Is she knowledgable about pelvic tilts or her walking body mechanics? I suppose the bottom line is be conservative in anything you do and let the client be the gage of what is not working. Stetching also is of great value. Don't know anything about reformers but you can work with her without a reformer.
Danielle
Thanks for your response and asking me for my take. Have you worked with stability balls?
I actually train many over weight cients, some suffering from lower back challenges successfully with balls. Squats performed against the wall with the ball, crunches on the ball, lower back strengthening with the ball, ROM on the ball. Also standing, or ball seated, tubing exercises, wall crunches, wall pushups, etc. Is she knowledgable about pelvic tilts or her walking body mechanics? I suppose the bottom line is be conservative in anything you do and let the client be the gage of what is not working. Stetching also is of great value. Don't know anything about reformers but you can work with her without a reformer.
Danielle
Comment by Danielle Vindez 327 days ago
Thanks Danielle, yes we do work on the stability ball with certain exercises. She does well some days with the ball and other days not so well. She does perform the pelvic tilts without pain. Her walking body mechanics are something we work on consistently because of the fact that she has a forward head posture and kyphosis. Also the right foot externally rotates severely.
I am doing more stretching with her than anything else right now because of how very tight all of her back muscles and hamstrings are. I definitely have my work cut out for me with this one. Thanks so much for your input, every little bit helps.
Gigi
I am doing more stretching with her than anything else right now because of how very tight all of her back muscles and hamstrings are. I definitely have my work cut out for me with this one. Thanks so much for your input, every little bit helps.
Gigi
Comment by Gigi Gregory 326 days ago
Hi Gigi
Your heart and your skills are on the right path, all the best to you and your client.
Danielle
Your heart and your skills are on the right path, all the best to you and your client.
Danielle
Comment by Danielle Vindez 326 days ago
0
On the assumption that you have obtained all the necessary approvals and that everybody is aware that she is now working out with you.
Ask for a copy of the exercises that the physical therapist has done with her. Those would be a good starting point. Core work is important but often difficult to implement in a very overweight person. Do you have access to a swimming-pool? That is often the best enviroment because the dynamic of the water forces the core to work. Because of the buoyancy of the water, it also help exercise without further compression.
Ask for a copy of the exercises that the physical therapist has done with her. Those would be a good starting point. Core work is important but often difficult to implement in a very overweight person. Do you have access to a swimming-pool? That is often the best enviroment because the dynamic of the water forces the core to work. Because of the buoyancy of the water, it also help exercise without further compression.
0
Hi Karin, thanks so much for your input. I will most definitely obtain a copy of the physical therapists exercises. I do have the approval of all of her doctors. You are right, pool exercises would be good for this client. I do not have access to a pool, but I will recommend some classes for her to attend.
Thanks,
Gigi
Thanks,
Gigi
Answered by Joanne Duncan-Carnesciali
324 days ago
ExpertMemberVerified
0
Hi Gigi,
Karin has given you good direction. However, looking at things from the perspective of a clinician, be sure your that your insurance covers working with populations with clinical conditions.
I wish you all the best.
Karin has given you good direction. However, looking at things from the perspective of a clinician, be sure your that your insurance covers working with populations with clinical conditions.
I wish you all the best.









