MCKENZIE EXERCISE

FOR HERNIATED
NUCLEUS PULPOSUS
Presented by:
Afni Yulisma
Hotmi Afrenti
Linda Laila
Milenia Widyani Shandra
Wan Nadila Vianda
 What is Herniated Nucleus Pulposus?
• Herniated nucleus pulposus is a condition in which part or
all of the soft, gelatinous central portion of an
intervertebral disk is forced through a weakened part of
the disk, resulting in back pain and nerve root irritation.
• Nucleus pulposus is the inner core of the vertebral disc.
The core is composed of a jelly-like material that consists
of mainly water, as well as a loose network of collagen
fibers.
• The most common cause of disc herniation is a
degenerative process in which, as humans age, the
nucleus pulposus becomes less hydrated and weakens.
This process will lead to a progressive disc herniation that
can cause symptoms. The second most common cause of
disc herniation is trauma.
 HOW TO TREAT LOW
BACK PAIN DISEASE? CAN
WE DO SOME EXERCISE?
Yes we can, one of exercises to overcome low back
pain is Mc Kenzie Exercise
 McKenzie Exercise
• The McKenzie Method was developed in the 1960’s
by Robin McKenzie, a physical therapist in New
Zealand. In his practice, he noted that extending the
spine could provide significant pain relief to certain
patients and allow them to return to their normal
daily activities.
• A central tenet of the McKenzie Method is that self-
healing and self-treatment are important for the
patient’s pain relief and rehabilitation.
• No passive modalities—such as heat, cold,
ultrasound, medicine or needles—are used in the
treatment.
1. Long-Term Goal:
Teach patients suffering from back pain how to treat themselves and
manage their own pain for life using exercise and other strategies.

2. Other Goals:
• Reduce pain quickly.
• Return to normal functioning in daily activities.
• Minimize the risk of recurring pain (avoid painful postures)
• Minimize the number of return visits to the spine specialist.
 1. Prone lying
Lie on your stomach with arms along your sides and head
turned to one side.  Maintain this position for 5 to 10
minutes.
2.  Prone lying on elbows
•  Lie on your stomach with your weight on your elbows and
forearms and your hips touching the floor or mat.  Relax your
lower back.  Remain in this position 5 to 10 minutes.  If this
causes pain, repeat exercise 1, then try again.
3.  Prone press-ups 
• Lie on your stomach with palms near your shoulders, as if to do
a standard push-up. Slowly push your shoulders up, keeping your
hips on the surface and letting your back and stomach sag.
 Slowly lower your shoulders.  Repeat 10 times.
4.  Standing extension
•  While standing, place your hands in the small of your back and
lean backward.  Hold for 20 seconds and repeat. Use this exercise
after normal activities during the day that place your back in a
flexed position: lifting, forward bending, sitting, etc.
5. Flexion in Lying
• Lie on your back with your knees bent and your feet flat on the
floor of bed. Bring both knees up toward your chest. Place your
hands around your knees and gently but firmly pull your knees as
close to your chest as pain permits.
6,7. Flexion in Standing and Sitting
• Bend forward and run your fingers down your legs as far as you
can comfortably reach or bend your back while seated in a chair.
• NOTE :
• Exercises 5,6,7 should always be followed immediately by
exercise 3, Extension in Lying. In this way, you can rectify any
distortion that could develop from exercise 5,6,7.
THANK YOU