Lifting, bending, putting on shoes – often there is a minor incident with minimal discomfort at the time. The following morning you “can’t get out of bed”. Occasionally there is a major disc injury with immediate onset of pain and disability. If there are obvious neurological signs (loss of power or reflexes), specialist review is recommended as soon as possible.
You may present with central, bilateral or unilateral pain, but only about 20% will have leg pain. You can feel stiffness of the back in the morning, difficulty getting in/out of the car and difficulty with standing from sitting, and may have a slight list (stand crookedly) or a loss of lordosis (flat back).
Sitting, bending activities, coughing/sneezing, standing from sitting.
Lying down, walking and changing positions.
PALPATION (when you touch area)
Often there are no palpation signs but there may be obvious muscle spasm.
STRAIGHT LEG RAISE
SLR testing is often positive but often only with leg or back stiffness rather than pain reproduction