Body Positions Affecting the spine and discs – Everything You Need To Know – Nabil Ebraheim, M.D.

Body Positions Affecting the spine and discs – Everything You Need To Know – Nabil Ebraheim, M.D.

Dr. Ebraheim’s educational animated video describing body positions which produce the highest measured pressure on the the discs of the lumbar spine. It has been determined that the highest intra-discal pressure is place on the discs when a person is in the seated position while leaning forward and holding weight. anatomy, alignment and Degeneration factors are also described which may attribute to lumbar spine problems.patient with a spine problem ,disorder,disc herniation prolapse or bulge, X-Ray and MRI are usually obtained .massage adjustment rehab, realignment and stretch to achieve flexibility of the spine vertebrae and muscles.brace injection for pain relief .doctors will perform surgery of decompression and or fusion if conservative treatment is not helpful for the patient.

Lowest disc pressure is measured while lying in the supine position.
Disc pressure measured at 75 kg when lying on side.
100 kg while standing.
150 kg of pressure while standing and leaning forward.
200 kg of disc pressure when holding a load and leaning forward.
140 kg of disc pressure while sitting.
Sitting and leaning produces 185 kg of pressure.
Highest pressure is measured while sitting and 20 degrees forward leaning with 20 kg load in arms.
Disc pain or degeneration factors
•Lack of physical activity
•Heavy lifting of objects
•Operating motor vehicles
Prolonged sitting
•Operating vibrating tools
•Smoking
•Dissatisfying or boring occupation
Provocative maneuvers
•Straight Leg Raise
•Range of Motion:
oFlexion: 12% increase to foraminal area
oExtension: 20% decrease to foraminal area
•Faber test