Donald Corenman, MD, DC
Moderator
Post count: 8427

So generally the pain is static in regards to activity except lifting weights and pushups exacerbates the pain and lying down relieves the pain somewhat. You have a degenerative disc at L5-S1 with a central posterior disc herniation or “bulge”. You can continue to participate in most recreational activities with some moderate pain that is tolerable.

I will assume that you have gone through a good Pilates physical therapy program and ergonomics education. The next step if that is the case is a series of epidural steroid injections to reduce the sensitivity of the nociceptors and medications like NSAIDs or membrane stabilizers to reduce inflammation or nerve transmission.

Because weights and pushups cause pain, your pain may be from facet syndrome. A consideration of facet blocks might be indicated (see website).

Dr. Corenman