Can You Squat with Herniated Discs or Scoliosis? Expert Insights

Herniated disc? Questions about exercise?

Seventeen years ago, after a car accident, I felt weakness in my left leg.
I later sought medical attention, but the doctor did not perform an X-ray and only assessed my ability to walk, concluding that everything was normal.
Most of the examinations focused on my cervical spine, where it was later discovered that I had an injury at the C5 level, resulting in muscle atrophy in my left arm and loss of shoulder muscle.
The condition of my spine remains uncertain, and one doctor suggested there might be scoliosis based solely on visual inspection.
However, during a health check, the physician who took the X-ray stated there was no scoliosis.

I would like to ask the doctor if it is possible to perform deep squats (non-weight-bearing) if there is scoliosis or a herniated disc.
Additionally, in the past, I experienced pain in my left calf, especially at night.
This has now changed to a painful spot near the groin, close to the scrotum, which intermittently aches and radiates to the outer thigh and upper muscles.
Pressing on this painful spot provides some relief.
Could this be related to scoliosis or symptoms of a herniated disc?

Niming, 30~39 year old female. Ask Date: 2020/05/06

Dr. Shi Guozheng reply Orthopedics

Scoliosis can perform deep squat movements, while herniated discs are not recommended for such activities.
Herniated discs may cause neurological pain.
If a definitive diagnosis is needed, it is advisable to consult a physician for an examination.

Reply Date: 2020/05/06

More Info

When it comes to squatting with herniated discs or scoliosis, it is essential to approach the situation with caution and a thorough understanding of your specific condition. Herniated discs and scoliosis can significantly affect your spinal health and overall mobility, and engaging in exercises like squats without proper guidance can lead to further injury or exacerbation of existing issues.

Understanding Herniated Discs and Scoliosis
Herniated Discs: A herniated disc occurs when the soft inner gel of the disc bulges out through a tear in the tougher exterior. This can lead to nerve compression, resulting in pain, numbness, or weakness in the affected areas. The severity of the herniation and the symptoms experienced will dictate the level of physical activity that is safe.

Scoliosis: This condition involves an abnormal lateral curvature of the spine. Depending on the degree of curvature, scoliosis can lead to discomfort, postural issues, and potential complications with physical activities.

Can You Squat?
Non-Weighted Squats: If you have been diagnosed with a herniated disc or scoliosis, performing non-weighted squats may be possible, but it should be done with caution. The key is to maintain proper form and avoid any movements that could place undue stress on your spine. Here are some considerations:
1. Consult a Specialist: Before attempting any squats, it is crucial to consult with a healthcare provider, such as a physical therapist or orthopedic specialist. They can assess your condition and provide personalized recommendations based on your medical history and current symptoms.

2. Focus on Form: If cleared to perform squats, focus on maintaining a neutral spine throughout the movement. Avoid leaning forward or rounding your back, as this can increase the risk of further injury.

3. Start Slow: Begin with shallow squats and gradually increase the depth as tolerated. Pay attention to how your body responds during and after the exercise.

4. Listen to Your Body: If you experience pain or discomfort while squatting, stop immediately. Pain is a signal that something may be wrong, and pushing through it can lead to more severe issues.

5. Strengthening Exercises: Instead of traditional squats, consider alternative exercises that strengthen the muscles around your spine without putting excessive strain on it. Exercises like glute bridges, wall sits, or modified lunges may be beneficial.

Addressing Pain and Symptoms
Regarding the pain you described in your left leg, particularly near the groin and extending to the outer thigh, this could potentially be related to your previous injuries or conditions like herniated discs or scoliosis. The pain could be due to nerve involvement or muscle strain resulting from compensatory movements due to your spinal condition.

1. Physical Therapy: Engaging in physical therapy can help address muscle imbalances, improve flexibility, and strengthen the core and back muscles, which are crucial for supporting the spine.

2. Pain Management: Discuss pain management strategies with your healthcare provider. This may include medications, physical therapy modalities, or other interventions to alleviate discomfort.

3. Regular Monitoring: Regular follow-ups with your healthcare provider are essential to monitor your condition and adjust your exercise regimen as needed.

Conclusion
In summary, while squatting may be possible for individuals with herniated discs or scoliosis, it is vital to approach this exercise with caution and under professional guidance. Prioritize your safety and well-being by consulting with healthcare professionals who can provide tailored advice based on your specific condition. Remember, the goal is to enhance your strength and mobility without compromising your spinal health.

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