4 months ago I (41F) thought my life was over. Today I was discharged from PT. (L4-L5 bulge + L5-S1 herniation)
2 months ago I made a post here because I was terrified and hopeless.
Background post: https://www.reddit.com/r/backpain/s/TIWEFN7sx3
I had an L4-L5 bulge and an L5-S1 herniation with left-sided sciatica. I was convinced my life as I knew it was over. I roller skate multiple times a week and played pickleball, and I genuinely thought those parts of my life might be gone forever.
Today I graduated from physical therapy. My PT reassessed me today, and my disability score went from 42% when I started to 12% today.
I honestly never thought I'd be typing those words. I'm not writing this because I think everyone will recover the same way. Every injury is different. But when I was at my worst, I desperately searched this sub for recovery stories. I hope this helps someone who's in that place right now.
Where I am today
I'd say I'm about 90% recovered. I'm back to living my life.
Over the last several weeks I've been:
- Roller skating for 2–3 hour sessions
- Playing pickleball for several hours
- Riding my bike
- Strength training
- Working full time
- Sleeping normally
- Not constantly thinking about my back
The only things I really notice now are:
- fatigue after a very active day
- some morning stiffness that goes away once I get moving
The nerve pain that dominated my life is gone. The fear of my body is mostly gone too. This imo is the biggest victory.
What helped me the most
If I had to rank what made the biggest difference for me, it would be:
- Physical therapy/recovery/rest
- Walking every day (even when it was to the end of the block)
- Refusing to adopt a "my back is ruined" mindset
- Pain Reprocessing Therapy
- The WHEALTH YouTube podcasts
- Learning how to relax my entire body instead of guarding all the time
- Red light / near-infrared therapy (I used it as part of my recovery routine)
- Time and consistency
- Gradually returning to activity instead of waiting until I felt "100%"
One exercise that surprisingly helped calm my nervous system was simply lying on my back with my knees bent, breathing slowly, and intentionally relaxing every muscle in my body for about three minutes.
The biggest lesson I learned
Not every sensation means you're getting worse. This took me months to understand. Eventually I learned the difference between:
- nerve pain
- muscular fatigue
- stiffness
- soreness from getting stronger
That completely changed my recovery. Sometimes my glute would ache after PT, my calf would feel tired/sore, my muscles twitched. Early on I thought every one of those sensations meant I had reherniated but I didn't.
My biggest mistakes
I'll be honest because I think this matters. Drinking alcohol consistently slowed my recovery. Every time I slept poorly or drank more than I should have, I noticed it. I also expected recovery to be linear and it wasn't. I'd have a great week, then a couple rough days, then another breakthrough. Looking back, that was normal.
Something I didn't expect
As I got better, my injury actually exposed movement problems I'd probably had for years.
Instead of just "healing my back," PT helped me discover things like:
- left/right strength differences
- pelvic stability issues
- glute weakness
- knee compensation
- posture habits
Now that's what I'm working on and I thankfully don't feel broken anymore. I feel like I'm becoming a stronger athlete than I was before.
About surgery (I was against this route 100%)
Early on I met with a neurosurgeon because I wanted to understand all of my options. That consultation actually gave me peace of mind. Since I wasn't developing progressive weakness or other surgical red flags, I decided to give conservative treatment my full effort first. I'm grateful I did and I know that won't be the right path for everyone, but it ended up being the right path for me.
If you're reading this in the middle of the worst part...
I know how scary it feels and I remember wondering if I'd ever skate again, if I'd ever bend to put my shoes on, play with my bunnies again or if I'd ever stop analyzing every sensation in my leg and glute.
Today my biggest challenge isn't surviving my injury. It's figuring out how to build strength and fix movement patterns that probably existed long before I got hurt. That's a problem I never imagined I'd be lucky enough to have.
If you're in the early stages, keep showing up. Recovery isn't always fast and it definitely isn't linear. But sometimes you look back after a few months and realize you've gone from wondering if life will ever be normal again...to being discharged from PT and planning your next workout.
If my story helps even one person feel a little less hopeless, then sharing it was worth it.
If anyone has questions about what my PT progression looked like, my activity progression back to skating/pickleball, or what mentally helped me the most, I'm happy to answer. I wouldn't have gotten through without reading other people's experiences, so I'd love to pay that forward.