Disc Bulge

Physiotherapy for Disc Bulges & Disc Degeneration

Targeted Treatment to Reduce Pain, Improve Movement & Restore Spine Health

Disc bulges and disc degeneration (degenerative disc disease) are common causes of lower back and neck pain. These conditions can create irritation around joints, nerves and surrounding soft tissues, leading to stiffness, muscle spasm, sciatica and reduced daily function. Our physiotherapists provide evidence-based assessment and personalised treatment plans to relieve pain, restore mobility and strengthen the spine for long-term resilience.

Understanding Disc Bulges & Disc Degeneration

A disc bulge occurs when the disc material protrudes outward, potentially irritating nearby structures such as the nerve roots.
Disc degeneration involves age-related or load-related changes in the discs, including reduced hydration, height loss and stiffness.

Common symptoms include:

  • Localised back or neck pain

  • Sciatica or radiating leg/arm pain

  • Tingling or numbness

  • Central or unilateral stiffness

  • Pain with bending, sitting or lifting

  • Reduced mobility or strength

With the right guidance, most disc-related conditions improve significantly through physiotherapy.

Disc Bulge

A disc bulge happens when the disc’s outer ring weakens and the inner gel pushes outward, usually evenly around the disc rather than in one direction. It commonly affects the lower back and neck, can narrow the space for nerves, and causes local pain or stiffness. If nerves are squeezed it can cause numbness, tingling or weakness that radiates. Causes include ageing, repeated loading, poor posture and sudden strain. Diagnosis is by exam, with imaging if needed. Treatment is usually non-surgical: pain relief, hands-on therapy, specific exercises to restore movement and load tolerance, and advice on activity; surgery is for ongoing or worsening nerve problems.

Areas We Treat for Disc Bulges & Disc Degeneration

1. Pain & Inflammation Management

  • Techniques to reduce pain and muscle spasm

  • Gentle movement strategies to calm irritation

  • Positioning advice for sitting, sleeping and lifting

  • Modalities as needed (heat, gentle traction, soft tissue work)

2. Restoring Spine Mobility & Flexibility

Loss of movement is a major contributor to disc pain. We use:

  • Lumbar and cervical joint mobilisation

  • Gentle extension or flexion-based exercises depending on your pattern

  • Nerve mobility techniques for sciatica

  • Soft tissue treatment to reduce guarding

3. Core Stability & Lumbar/ Cervical Strengthening

Targeted strengthening is essential for long-term recovery. Programs include:

  • Core strengthening exercises

  • Glute and hip stabiliser strengthening

  • Thoracic mobility and postural strengthening

  • Progressive strengthening for lifting and daily activity

4. Functional Movement & Posture Training

Correcting load and movement patterns helps prevent flare-ups. We focus on:

  • Hip hinge mechanics to reduce disc pressure

  • Safe bending, lifting and daily movement strategies

  • Postural endurance training for work and home

  • Ergonomic guidance for sitting and standing

5. Nerve Pain & Sciatica Management

For patients with nerve referral, treatment may include:

  • Sciatic or cervical nerve gliding

  • Reducing neural tension

  • Re-conditioning of affected muscles

  • Load progression tailored to nerve irritability

6. Graded Activity & Return-to-Function Programs

To help you return confidently to your lifestyle, we offer:

  • Work-specific strengthening

  • Return-to-sport conditioning

  • Walking and gym progression programs

  • Endurance building for spinal stability

7. Chronic & Recurrent Disc Pain Management

For long-standing issues, we provide:

  • Detailed biomechanical assessment

  • Long-term strength and mobility programs

  • Education on flare-up prevention

  • Strategies for disc health and load control

Our Physiotherapy Approach

Your treatment is tailored to your symptoms, imaging (if applicable) and functional goals. Our approach includes:

  • Manual therapy

  • Individualised exercise prescription

  • Spinal mobility restoration

  • Lumbar and cervical stability training

  • Postural and ergonomic education

  • Return-to-activity planning

  • Flare-up management advice

Our aim is to help you rebuild strength, restore confidence and move freely without fear.

Common Causes & Contributing Factors We Treat

  • Poor lifting or bending mechanics

  • Prolonged sitting or poor desk posture

  • Weak core or gluteal muscles

  • Age-related changes in the discs

  • Repeated flexion or rotation strain

  • Sudden heavy lifting

  • Deconditioning or inactivity

When to Seek Physiotherapy

Book an assessment if you experience:

  • Persistent or worsening back/neck pain

  • Sciatic leg pain or nerve symptoms

  • Difficulty sitting, bending or lifting

  • Recurrent flare-ups

  • Stiffness that limits daily function

  • Pain lasting more than a few days

Early intervention leads to faster improvement and reduced recurrence.

Book Your Disc Pain Assessment

If you’re dealing with disc bulges, disc degeneration or recurring back/neck pain, our physiotherapists can help you recover safely and confidently.
Contact us today to book your appointment.

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Sciatica & Nerve Pain

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Lumbar Joint Facet Pain