Recovery from herniated (slipped) discs.

Bummers

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Mar 12, 2022
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Thanks to an accident two months ago I popped a couple of discs around the L4/5/S1 area.
It's not been fun. I'm itching to get back on the bike but worried about making it worse.
Anyone had experience of this? How long did it take before you were back on the emtb?
 

Hobo Mikey

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Sounds painful. Not done that but know how you feel about getting back on bike. Hope you have a speedy recovery. 👍
 

Dirtnvert

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If its only been 2 months i'd take it very ez. Best case scenario is exstensive physio for 8 weeks prior but you definitely dont want to reinjure and go back to the start. I'm going on 30yrs of maintainence of s1, l3,4,5. I had great success after a full 2 year/every day physio and stretching and focusing on posture and safe movement and making sure i didnt overdue any exercise. Hammer those physio exercises, build stability and in 2 years with out reinjury your tendons connecting vertabrae will shrink after being stretched from the injury. If youve ever had "skiers thumb" you"ll know it hurts for 1.5 yrs to 2 years, and thats because its tendons that have stretched and it takes 2 yrs to unstretch. At the 2 year mark without reinjury, and along with your built up stability from 2 yrs of physio, the combined physio and unstretched tendons will give you the best base you can hope for. I still stretch an hour or two, 9 out of 10 days. If i have the occasional strain my physio exercises are beat into my brain so ill do a 6-8 week physio cycle.
If you do go biking i'd start with a light stretch(hammies,glutes,quads,cats and dogs) and a short walk. Are bodies are designed to walk and that will help alignment. Don't overdue it on the stretches, youve got 2 yrs to feel out your stretching routine, as some can reinjure if they try and stretch too hard(ez does it)
 

Bummers

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Mar 12, 2022
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Cheers, yeah it's all about hamstring and posterior chain stuff at the moment. Physio has me doing a few exercises but nothing crazy. Got lovely sciatic pain from my back down my left leg as well.

Glad the weather is crap as I'm a bit of a fair weather rider so don't feel like I'm missing out too much😂
Really want to get back to stiniog/bpw etc for next summer but realistically it's more like gentle cross country stuff instead.
 

Dirtnvert

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Cheers, yeah it's all about hamstring and posterior chain stuff at the moment. Physio has me doing a few exercises but nothing crazy. Got lovely sciatic pain from my back down my left leg as well.

Glad the weather is crap as I'm a bit of a fair weather rider so don't feel like I'm missing out too much😂
Really want to get back to stiniog/bpw etc for next summer but realistically it's more like gentle cross country stuff instead.
Thats good. Physio is key. They dont have to be crazy exercises. The key is repitition. When you sustain an injury and pinch a nerve its like losing current to your stabilizer muscles. As a result theose muscles stop firing intuitively. When you go to lift something they should automatically fire and stabilize you before you use a major muscle group to do the actual lifting. I'd recommend doing those physio exercises as many reps as humanly possible. Theyll give you different ones and that will mix it up so you dont get bored but it works on firing the same stabilizer muscles. By doing as much repition of those physio muscles as you can it will become intuitive. You wont have to consciously think to stabilize before you lift or pull or move. So its not about heavy lifting exercise its about repitition. In the course of you training your brain- stabilizer muscle conductivity your spine should line up and stay lined up better and the pain should become graduslly more controllable. I'd definitely take advantage of the physio therapist's exercises . If you do them endlessly they'll be the tools that you'll need and use for the rest of your life. The injury is there so now its just to what level you want to maintain it for what activities you want to do. Its definitely a large part of why i got on an emtb , or was open to the possibility. After getting on one who wouldnt , injury or not. Good luck with your injury. I have empathy for anyone dealing with it . It'll get better and you'll develop a good feel of what and when you can open up the throttle.
 

Bummers

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Mar 12, 2022
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UK
Thats good. Physio is key. They dont have to be crazy exercises. The key is repitition. When you sustain an injury and pinch a nerve its like losing current to your stabilizer muscles. As a result theose muscles stop firing intuitively. When you go to lift something they should automatically fire and stabilize you before you use a major muscle group to do the actual lifting. I'd recommend doing those physio exercises as many reps as humanly possible. Theyll give you different ones and that will mix it up so you dont get bored but it works on firing the same stabilizer muscles. By doing as much repition of those physio muscles as you can it will become intuitive. You wont have to consciously think to stabilize before you lift or pull or move. So its not about heavy lifting exercise its about repitition. In the course of you training your brain- stabilizer muscle conductivity your spine should line up and stay lined up better and the pain should become graduslly more controllable. I'd definitely take advantage of the physio therapist's exercises . If you do them endlessly they'll be the tools that you'll need and use for the rest of your life. The injury is there so now its just to what level you want to maintain it for what activities you want to do. Its definitely a large part of why i got on an emtb , or was open to the possibility. After getting on one who wouldnt , injury or not. Good luck with your injury. I have empathy for anyone dealing with it . It'll get better and you'll develop a good feel of what and when you can open up the throttle.
Awesome, appreciate it!

The idea of not being able to get on the bike for possibly a year is a grim thought.
 

Dirtnvert

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Awesome, appreciate it!

The idea of not being able to get on the bike for possibly a year is a grim thought.
Everyones injury is different so it can be hard to tell. That being said im pretty sure you'll be able to get on the bike and rip some turns. Personally i just have to be reasonable with my expectatiins and careful not to overdue it. Thats why the dmtb is so great. But even with the eeb , after a setback, im extra careful not to do too much. It's become more important to be consistent and get out for more rides thru the week than get big long grueling rides in. I still get long rides in but its a slow building process and recovery days are super important as well as the first day back out. Rest days its walk around and do errands and stretching and first day back its a short get out of low intensity pedal kind of feel it out. I just found making it past that 2 yr mark, without going into spasm and the sline getting misaligned, gave me a definitive extra level of stability that paid off in the long run. A game changer. I didnt miss one day of physio(home) and stretching. During that time i focused on walking and ski touring if i did exercise. I think i only ski toured 15 days tgat first year and they were short days mostly walking with few actual turns. I avoid the ski hill for a few years. Ski touring became the best thing. Walking/skinning uphill and balancing on a skintrack is 90% of the day and its that little balancing every step that you fire your core muscles to get tracfion and use your stabilizers. Its also leg lifts with weight on your feet which also good for core strength plus the alignment from walking.At the top youre rewarded with some ez soft powder turns for that other 10% of the day. I went with low expectations on the distance or vertical i expected and because of that i was always pleasantly surprised how good the day was. Its hard not to have a tiring day ski touring so i set short routes without technicality and built from there. Just cruizy meadowskipping flatter pow turns and always left the possibility of turning around early. Its not a race just consistent safe effective training.
The ski hill speeds are too fast and require waaay too many dynamic recovery type maneuvres, no matter how good you are, and the snow quite often isnt soft like ski touring/backcountry skiing. bc skiing is mostly walking.
If you dont have snow spinning the pedals works with the physio and stretching being the main recovery tools
 

steve_sordy

Wedding Crasher
Nov 5, 2018
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Lincolnshire, UK
I incurred a similar injury 27 years ago. I struggled on for years with intermittent relapses (time off work etc). I thought I had found "the answer" with Chiropractic in 2005. It worked OK, but it is something that was done to me and not something I could do by myself. I started mtb in Aug'08 and in December of that year, one of the bike magazines recommended Pilates. WOW! That was "the answer"! I did Pilates classes for the next 13 years and it was amazing. The combination of core strength, balance and flexibility suited me perfectly. And when required, I could run through some of the exercises by myself wherever I happened to be (hotel room, the office, aeroplane aisle...) The pandemic put a stop to the classes, except by Zoom which didn't work for me. So I devised my own Pilates-type exercises and I now do them every single day, takes 12 mins.

The other factor is that I always felt "propped up" when on my bike. I mean that as I was sat down and with my hands on the bars, I was in a stable position. Just pedalling along mobilised my back muscle and my joints. Riding a bike was beneficial all by itself. I have had a few relapses since (last one six years ago), but once I'm up and about, getting onto my exercise bike is the first step to recovery.

My experience of Pilates pretty much occurred at the same time as taking up MTB and I found them to be both beneficial for my back. Believe me, I have had plenty of involuntary dismounts and awful looking crashes, but amazingly, not once have I suffered a back injury from them.

Best of luck @Bummers !
 

Dirtnvert

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Good one Steve. Nice to have some tools that work. Im not big on chiro either. Being snapped into place nay align a person but the support system is still damaged. Stabilizer muscle work needs to be done go support and surround the injury to atleast slow imminent arthritus.
Ive got an excercise i'll throw in because after seeing countless physiotherapists i found one that was a total guru with a major sports background.. All physios focus on the trans abdominal muscles for stability, as they should. Theyre the muscles beside your hips that connect your stomach around thru your crotch to your back. Trans abs trans abs trans abs, thats what most spine physio exercises focus on. It was only when i went to thus amazing physio that she gave me an exercise that focuses on the "spinalis". The spinalis muscles are small musckes, about the size of one bend/sectiin of your pinky finger, and you have one on either side of your spine connecting one vertabrae to the next. So 2 spinalis at evrry vertabrae the whole way up your spine. Their sole purpose is to stabilize the vertabrae. The exercise is simple. Laying face down on your exercise mat with hands stretched straight up shoulder width apart and legs straight and shoulder width apart. Then you raise the left hand and right foot up 1 inch off the ground and hold for 25 seconds. Then alternate and raise your right hsnd and left foot 1" off the ground for 25 seconds. Thats one set. I do 3 sets of 5 but i think i started with one set of five initially to feel it out. It wad a great addition to all the trans ab exercises.
 

steve_sordy

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Nov 5, 2018
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@Dirtnvert We did something very similar to that in my Pilates classes. The only difference was that we held for 8 seconds not 25. All the exercises and timings seemed to be based around 8; duration 8 seconds or 8 reps etc. It seems weird to me now that I never asked why. I will give that a try tonight when I'm watching TV. Thanks for the explanation. :)
 

Rotwilder

Member
Apr 19, 2019
44
43
West Yorkshire
September 2022 I had spine decompression with screw and rods fixation on L4/5 which was very successful. Did plenty of walking to build strength back up. I didn’t start cycling again until February. So that’s four whole months of gentle physio and plenty of walking. Unfortunately in January I had caused a problem with a sciatic nerve; probably by twisting while driving abroad. Thinking it would just go away I began cycling in February which was no problem at first. Anyway, it became unbearable so I went for further a MRI scan which showed further slippage above L4/5 in L3. This was pushing directly on the sciatic nerve. Just had further operation this month, which has sorted the problem out. I’m a quite healthy 72, but things take time to heal. It feels better than it ever has been at the moment and I would love to just get out there and ride the bike! My advice would be to take as long as you can and follow what the physio tells you. My surgeon initially told me if you wanna get on your bike after 6 weeks do it. My physio said 6 months. I did 4 months. Maybe I wasn’t ready enough, although I cycled 2/3 times a week to August, with sometimes pure agony After the ride. Best of luck!
 

Dirtnvert

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@Dirtnvert We did something very similar to that in my Pilates classes. The only difference was that we held for 8 seconds not 25. All the exercises and timings seemed to be based around 8; duration 8 seconds or 8 reps etc. It seems weird to me now that I never asked why. I will give that a try tonight when I'm watching TV. Thanks for the explanation. :)
I think the 8 seconds/pilates doesnt completely focus on the spinalis. My understanding is they would do more reps and the 1" inch above the floor/mat isnt part of it. It then becomes an exercise that works on the larger/lifting/movement muscles in the back and even a bit of cardio. Your stabilizers(spinalis) will still be engaged , if youve retrained enough for them to work intuitively after the intitial injury shock but its not necessarily focusing on the spinalis muscles. By holding for the longer 25 seconds you are isolating and focusing purely on stability and the stabilizer muscles
 

Dirtnvert

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Sep 25, 2018
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September 2022 I had spine decompression with screw and rods fixation on L4/5 which was very successful. Did plenty of walking to build strength back up. I didn’t start cycling again until February. So that’s four whole months of gentle physio and plenty of walking. Unfortunately in January I had caused a problem with a sciatic nerve; probably by twisting while driving abroad. Thinking it would just go away I began cycling in February which was no problem at first. Anyway, it became unbearable so I went for further a MRI scan which showed further slippage above L4/5 in L3. This was pushing directly on the sciatic nerve. Just had further operation this month, which has sorted the problem out. I’m a quite healthy 72, but things take time to heal. It feels better than it ever has been at the moment and I would love to just get out there and ride the bike! My advice would be to take as long as you can and follow what the physio tells you. My surgeon initially told me if you wanna get on your bike after 6 weeks do it. My physio said 6 months. I did 4 months. Maybe I wasn’t ready enough, although I cycled 2/3 times a week to August, with sometimes pure agony After the ride. Best of luck!
The surgery sounds promising. Im also conversing with a buddy about discectomy. He is a physio and he ended up having to go with a discectomy and it seems to be working. It must be such a relief not having pinched nerves. In both cases thsts the alognment phase. The reinforcement , preventative durability, and sustainability phase is always going to be dictated by the amount of physio and stabilizer muscle reinforcement. And tendons still take 2 years to have proper tension or thats atleast how i understand it.
 

Slymobi

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Mar 13, 2021
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Man... im sweating reading this thread. i had written a long post but when i submitted it i think i had taken too long lol. So I will give a brief account of my own experience...

Basically in a similar position with numerous slipped, bulging, deteriorated discs along with torn and fractured vertebrae ( how the F does a vertebrae become fractured!! ) a few years back after around 9 months of severe unbearable sciatic pain that all methods to relieve were in vain led to me opting for micro discectomy surgery which in short eliminated the direct sciatic pain but led to more issues and severe sciatic nerve damage.
Not sure on the actual terminology of areas damaged as its been a few years but i got back into cycling more after the surgery to aid recovery along with regular physio exercises blah blah blah..... pretty much how it goes for everyone but the cycling is a god send for aiding my pain.
During pre surgery and actual surgery it was brought to attention that i had quite a lot of other issues/ Damage that would eventually flare up and that this surgery would do nothing for them issues and was solely to relieve the sciatic pain now, i could not bare the pain any longer nor being in a regular zombified state from the useless meds that virtually did no pain relief so i said lets do it...

One thing for sure is that i will NOT have that surgery again. Maybe i was an unlucky patient! but i thought sciatic pain was the worst i had experienced until post surgery.
Longer story short... i was rushed back to hospital 2 days later and was literally passing out in pain, my sciatic nerve had so much severe damage ( still unclear if this was caused by the slipped / bulging disc or the man handling during surgery ) which was causing complications. After 3 weeks under close observation i could come home and the road to semi recovery would begin. Physio and Emtb seemed to really work albeit some manageable flare ups with my back but never sciatic until recently:(

Now a few years later is the time of flare up that i was told about and facing just about manageable sciatica,
I am shit scared of going through what i went through previously as it had more than just physical affects on myself and more importantly my wife and children.
I got lazy on my exercises and that is whats KEY. As mentioned already its so important to keep them up even on your good days. I have begun redoing the given exercises and appreciate this thread to hopefully find some unknown to try.

I sincerely wish you a full recovery along with all others that are going through similar.

pmsl.... this is my short version !!
 

Rotwilder

Member
Apr 19, 2019
44
43
West Yorkshire
Man... im sweating reading this thread. i had written a long post but when i submitted it i think i had taken too long lol. So I will give a brief account of my own experience...

Basically in a similar position with numerous slipped, bulging, deteriorated discs along with torn and fractured vertebrae ( how the F does a vertebrae become fractured!! ) a few years back after around 9 months of severe unbearable sciatic pain that all methods to relieve were in vain led to me opting for micro discectomy surgery which in short eliminated the direct sciatic pain but led to more issues and severe sciatic nerve damage.
Not sure on the actual terminology of areas damaged as its been a few years but i got back into cycling more after the surgery to aid recovery along with regular physio exercises blah blah blah..... pretty much how it goes for everyone but the cycling is a god send for aiding my pain.
During pre surgery and actual surgery it was brought to attention that i had quite a lot of other issues/ Damage that would eventually flare up and that this surgery would do nothing for them issues and was solely to relieve the sciatic pain now, i could not bare the pain any longer nor being in a regular zombified state from the useless meds that virtually did no pain relief so i said lets do it...

One thing for sure is that i will NOT have that surgery again. Maybe i was an unlucky patient! but i thought sciatic pain was the worst i had experienced until post surgery.
Longer story short... i was rushed back to hospital 2 days later and was literally passing out in pain, my sciatic nerve had so much severe damage ( still unclear if this was caused by the slipped / bulging disc or the man handling during surgery ) which was causing complications. After 3 weeks under close observation i could come home and the road to semi recovery would begin. Physio and Emtb seemed to really work albeit some manageable flare ups with my back but never sciatic until recently:(

Now a few years later is the time of flare up that i was told about and facing just about manageable sciatica,
I am shit scared of going through what i went through previously as it had more than just physical affects on myself and more importantly my wife and children.
I got lazy on my exercises and that is whats KEY. As mentioned already its so important to keep them up even on your good days. I have begun redoing the given exercises and appreciate this thread to hopefully find some unknown to try.

I sincerely wish you a full recovery along with all others that are going through similar.

pmsl.... this is my short version !!
Well second time round I was worried about the usual complications, but tbh I was considering overdosing in August! Couldn’t ride, walk more than 100 yards, sleep, listen to conversations etc. had to be done. Mr Robert Corns my specialist is like Jesus to me now! He’s also a neorosurgeon and very knowledgeable. People have commented on how much friendlier I seem and big plus-upstanding again, not a bent, bitter and twisted person I had become 😂
 

Dirtnvert

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Sep 25, 2018
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Man, im appreciating these stories. They call it white coat syndrome. My blood pressure jumps considerably anytime im in a medical facility. Ill keep hammering away until i definitively have to consider surgical. If so ill be researching surgeons. My orthopedics buddy told me anytime i need a surgeon he knows the best and he knows some he wouldnt wish on his worst enemy
 

Bummers

Well-known member
Mar 12, 2022
584
539
UK
Man... im sweating reading this thread. i had written a long post but when i submitted it i think i had taken too long lol. So I will give a brief account of my own experience...

Basically in a similar position with numerous slipped, bulging, deteriorated discs along with torn and fractured vertebrae ( how the F does a vertebrae become fractured!! ) a few years back after around 9 months of severe unbearable sciatic pain that all methods to relieve were in vain led to me opting for micro discectomy surgery which in short eliminated the direct sciatic pain but led to more issues and severe sciatic nerve damage.
Not sure on the actual terminology of areas damaged as its been a few years but i got back into cycling more after the surgery to aid recovery along with regular physio exercises blah blah blah..... pretty much how it goes for everyone but the cycling is a god send for aiding my pain.
During pre surgery and actual surgery it was brought to attention that i had quite a lot of other issues/ Damage that would eventually flare up and that this surgery would do nothing for them issues and was solely to relieve the sciatic pain now, i could not bare the pain any longer nor being in a regular zombified state from the useless meds that virtually did no pain relief so i said lets do it...

One thing for sure is that i will NOT have that surgery again. Maybe i was an unlucky patient! but i thought sciatic pain was the worst i had experienced until post surgery.
Longer story short... i was rushed back to hospital 2 days later and was literally passing out in pain, my sciatic nerve had so much severe damage ( still unclear if this was caused by the slipped / bulging disc or the man handling during surgery ) which was causing complications. After 3 weeks under close observation i could come home and the road to semi recovery would begin. Physio and Emtb seemed to really work albeit some manageable flare ups with my back but never sciatic until recently:(

Now a few years later is the time of flare up that i was told about and facing just about manageable sciatica,
I am shit scared of going through what i went through previously as it had more than just physical affects on myself and more importantly my wife and children.
I got lazy on my exercises and that is whats KEY. As mentioned already its so important to keep them up even on your good days. I have begun redoing the given exercises and appreciate this thread to hopefully find some unknown to try.

I sincerely wish you a full recovery along with all others that are going through similar.

pmsl.... this is my short version !!
Damn that's rough!
I'm considering myself lucky that things weren't a lot worse after reading this and others.

Key takeaway seems to be don't be a lazy couch potato and do the physio exercises.
 

TGR KS

Member
Jun 7, 2022
6
8
Leawood, Kansas USA
My back, the outside. Inside L3-4-5-S1 fusion in four procedures. Most recent Sept 19, 2023. Inside lots of hardware.

You want back trouble advice from a pro?

Back IncisionIMG_1708 (002).jpg
 

Dirtnvert

E*POWAH Elite World Champion
Sep 25, 2018
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Damn!! Thats gnarly. You and Slymobi need some kind of reward. Reading between the lines though i can feel you'll both find a way forward. I found i could tell .At one "pain" clinic there was a large group of differing injuries. Many were wacked right out of it on oxycodone. I only got to know those ones after they weened them off that shit. Some were work related, some car accidents, messed surgeries etc. You could tell the ones that were going to find a way. There was no 2 ways around it. They were going to make it happen, craft a quality of life. The oxy crew im not so sure.
Hang tough lads. We gotz the eebzzz. Its going to get better.
I'll be checking in for the "back" story on that tgr KS. Wow
 

Pazman

Active member
Dec 8, 2022
117
112
Uk
In my experience after disc problems , mine was never the same again , it always returns at times and never fully recovers
it has felt good again and pain free but it has retuned many many times over the years since .
core strength training is a must to keep it from returning as much..
I also had neck injury from a bad fall over a jump in May this year where i landed on my head ,its still giving me aches and pains daily and more annoyingly when riding my ride .
 

Bummers

Well-known member
Mar 12, 2022
584
539
UK
My back, the outside. Inside L3-4-5-S1 fusion in four procedures. Most recent Sept 19, 2023. Inside lots of hardware.

You want back trouble advice from a pro?

Would be fascinated to hear your story, that scar is crazy!

And yes, would love to hear any advice you can give🙏
 

TGR KS

Member
Jun 7, 2022
6
8
Leawood, Kansas USA
Would be fascinated to hear your story, that scar is crazy!

And yes, would love to hear any advice you can give🙏
The whole story is too long. Basically, I have degenerative disc disease. This resulted in insufficient space between some of the vertebrae. That can lead to bad nerve pain and other arthritis-type back pain. For me, surgeries have been the only treatment that works, and it doesn't necessarily provide complete relief. Opioids work well for me but a person can't take them long term.

You gotta get the MRI and then, hopefully, get an accurate diagnosis. This is key.

They always make you get physical therapy before any surgery. Also, sometimes pain shots. I also "donated" $2,000 to a chiropractic practice that promised everything and delivered nothing. BTW, this happens a lot.

If MD says you need fusion or discectomy, etc think carefully about it. If your pain is every day and seriously affecting your active life then maybe do it.

Seriously, best wishes.
 

steve_sordy

Wedding Crasher
Nov 5, 2018
9,017
9,457
Lincolnshire, UK
In my experience after disc problems , mine was never the same again , it always returns at times and never fully recovers
it has felt good again and pain free but it has retuned many many times over the years since .
core strength training is a must to keep it from returning as much..
....................
I was told that by a guy in his mid 40's when I was in my mid 20's. Almost fifty years later, sadly, I have cause to remember him! I had regular recurrences until I discovered Pilates. I still get recurrences, but they are much less frequent and mild in comparison.
 

Bummers

Well-known member
Mar 12, 2022
584
539
UK
The whole story is too long. Basically, I have degenerative disc disease. This resulted in insufficient space between some of the vertebrae. That can lead to bad nerve pain and other arthritis-type back pain. For me, surgeries have been the only treatment that works, and it doesn't necessarily provide complete relief. Opioids work well for me but a person can't take them long term.

You gotta get the MRI and then, hopefully, get an accurate diagnosis. This is key.

They always make you get physical therapy before any surgery. Also, sometimes pain shots. I also "donated" $2,000 to a chiropractic practice that promised everything and delivered nothing. BTW, this happens a lot.

If MD says you need fusion or discectomy, etc think carefully about it. If your pain is every day and seriously affecting your active life then maybe do it.

Seriously, best wishes.

Yeah had an MRI done at A&E when it happened. Chiro is just quackery, if you happen to get someone who is knowledgeable it's luck you found a particular individual rather than chiro being anything other than snake oil.
 

Dirtnvert

E*POWAH Elite World Champion
Sep 25, 2018
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I have to keep moving. I just have to be careful to know how much for that particular day. If i take a day off its only one and i stretch. Things go sideways if i lay around more than a day

 

Bummers

Well-known member
Mar 12, 2022
584
539
UK
I guess I wasn't clear. My chiro treatment was a total rip-off/quackery.

Yes I was agreeing with you, some people will swear it's the best thing and has cured their issues but truth is what you experienced is what generally happens.
Chiropractors, homeopaths, Chinese 'traditional' medicine etc, all scams.
 

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