c6 c7 herniated disc exercises to avoid

Everyone can benefit from the effects of ELDOAs and MFS but each person is different and without proper instruction and help from a Certified ELDOA/MFS Instructor, these techniques may not be as effective. The following exercise can help ease neck pain caused by a slipped disk in the upper spine or neck: To relieve pain and pressure from a herniated disk near the neck, people can try the following exercise: For those with a slipped disk in the lower spine, strengthening the hamstring muscles can help better support their core and back. In: Donatelli RA. Phys Ther. I have a c6-c7 herniated disk with nerve impingement that causes horrible pain in upper right back and behind my right arm into my elbow. . This paralysis results in a complete loss of motion and sensation in the arms, wrists, and hands as well as loss of some reflexes. So, most of the treatments are designed to numb the nerve, which really doesnt solve the problem. Any disc in the spine can become herniated, but it most commonly occurs in the lower back. Thank you Bob and Brad! Hold this position for 10 to 30 seconds, and return your head to the starting position. I just found out after months of pain that I have a bulging disc that is compressing my nerve root and my leg is constantly tingling if Im on my feet. A herniated disc between the vertebrae of this region can be painful. I cant sleep, move, drive, lift anything; Ive lost strength in my hand and arm. It starts in the early hours of the morning. Find warm-ups and stretches here. I suffered for several days there was NO way I could put a towel behind my back or do those sway back moves. You can lose function and experience pain. C6/C7 bears the brunt of the wear and tear from neck movement and athletic strain. Paracetamol+Codeine seems to help you get off to sleep at night but you'll still wake up after a few hours. Wrap a towel around the foot of the leg in the air. Gently turn your head to the side. It stays at about a level 3 then suddenly the pain accelerates to a 10.pain takes my breathe away..what may be causing this.it has been going on for about a year now. You guys are awesome! Don't forget to always practice good posture, pulling your shoulders slightly back and looking straight ahead. Common surgeries performed in the C6-C7 motion segment include: I never stop asking myself why Im so young and never had a fall,lifted something heavy. By user:debivort, CC BY-SA 3.0, Link. However, research has found that the most common levels of cervical disc herniation are C5-6 and C6-7, which account for about 90% of all cases 1. My routine is based on resting for a 1 2 hours which completely removes pain. The height of your chair should be such that your feet comfortably rest on the floor. Tucking the chin without strong axial extension isnt as effective. Would love to get an answer from you guys about the above question. In the beginning the pain was almost unbearable. I have been wearing sleeveless dress shirts in the winter and people always make comments. This is the first time anyone has explained my pain. Neubardt S [Dr. Neubardt and Dr. Stern The Neuro-Ortho Team]. Ice helps a little too. I have pain from last 2-3 years. One of the most common disc herniations. [4] This means that when you do any of these exercises you want your symptoms to come back/feel closer to the spine (center), rather in than in your shoulder/arm/hand. The goal of stretching is to relieve pain, not increase it. And yes, these exercises do help. Although you might have a herniated disc in your neck, you can participate in most exercises after your flare-up has subsided. C6/C7 bears the brunt of the wear and tear from neck movement and athletic strain. I got mine at 15 and Im 18 and still have it and Ive had mris done and Done message therapy 20x physical therapy for 6 weeks, and chiropractor about 15 times so far since I been 17 and I just turned 18. And to be SPECIFIC, the McKenzie Protocol is what has helped me get out of pain. Wish had the knowledge on posture and deadlifts being bad way, way before. These can jar the spine. Dr. Oliver then went on to pursue his chiropractic career by attending Palmer College of Chiropractic West, where he graduated Cum Laude. Pull in your stomach (do not arch your back). This video makes more sense then the 8 months of endone and vallium + core workouts when now I cant even walk 5km because of leg pain. While keeping your elbows locked, slowly move your arms out and back behind your body. The head is a large and heavy object on a rather thin pole of vertebral bones and even thinner spinal discs. Usually in the beginning ice therapy is recommended to reduce inflammation. See this video for more detail on it: https://youtu.be/Wj7AlOSmh8w.2) Neck Collar: When pain is severe, one must consider using neck collar/ cervical collar to avoid this #CervicalPain. All of these exercises share the key challenge of maintaining stability of the spine and pelvis, with the spine in a neutral or slightly arched position while one or both legs move through space. about 4 months ago I was diagnosed with some spinal stenosis as result of 2 herniated disc in cervical spine and one protrusion. People with a herniated disc do not usually need surgery, and doctors often recommend physiotherapy to treat symptoms. Those areas have minor and infrequent issues so I just ignored and thought oh well. Sciatica is most often relieved through conservative methods within a matter of weeks without requiring surgery. Plan is to get another one in 9!days. If a person feels pain, they should stop doing the exercises and speak with their doctor. Manual therapy Spinal manipulation, mobilization, and massage. Hold this position for 1 minute, rest 1 minute, and repeat 5 to 15 times. Tuck your chin in toward your chest, making a double chin. i will show u my xray report, *pre-trached and pre vertebral soft tissue appears normal, *Disc space is mildly reduce in between c5 & c6, *Right sided rudimentary cervical rib is seen. A herniated cervical disc occurs when one of the discs in the neck protrudes on a nearby nerve and causes pain. A bulging disc in your neck can cause pain in your neck, shoulders, chest, and arms. I have a herniated disc, bulging disc, annulat tear, DDD, and mild stenosis. Had a minor cervical disk bulge in c5-6. Diagnosis Of C5 C6 Disc Herniation Symptoms. Thank you. As long as it doesnt cause pain. Lie on the back and hold both knees toward the chest. Narrowed down that I potentially have a bulging disc I5-S1. Thx. 3) Cervical Radiculopathy. Genetics. To protect the neck, you'll want to avoid any exercises that may shock the cervical spine, such as weightlifting . Watch out for relapse during recovery. But so far it has fixed the primary issues with my arm while making swallowing and overall movement difficult (I expect this to heal over time as the surgery just happened.) Spine. Oh wow! Common nonsurgical treatments of the C6-C7 motion segment include: Pain Management. The dry humor is the only thing that makes me cringe watching these videos lol, agar left hand me disc ka pressure hai to Kya stretching right side ke musscles ki karna hai, jisse left hand me disc ka pressure Kam ho jaye, please reply. What is the latest research on the form of cancer Jimmy Carter has? Find out here about the different surgical options and their. A pinched nerve at this level can cause numbness or tingling in the C6 dermatome and weakness in the C6 myotome.A C6 C7 disc that is herniated can be one of the most painful and debilitating conditions a person could ever suffer with. Are there any therapies that involve those areas of the head ? 1) Neck Pain. I am seeing a neurologist to talk about my recent MRI for, what I believe, is a c6c7 disk problem, and you have forearmed me with very helpful knowledge. +372 59 028 916 - Please note, this number cannot assist with any individual health queries. Bob and Brad, you are definitely the best PTs on the internet. C6/C7 is the last intervertebral disc fully contained within the cervical spine. Physical therapy and low-impact exercise, such as short and frequent walks, will be key in your recovery after the C5-C6 cervical hernia operation. Your biceps might get extra tight and weak. Sit-Ups. Fortunately, most patients with a cervical hernia do not require an operation. mujhe mere thumb me nubness ho gayi hai kyonki mere C-5 C-6 ke bich disc bulging ho gayi hai, koi aisi effective exercise bataye, jisse mere thumb ki nubness chali jaye, Sir, ift ultrasound, acupuncture exercises sab karliya par thik nahi horaha cervical Kya karu pls help me. Very good article. Celebrate National Nutrition Month with 10 healthy buys Healthline editors are obsessed with. [1] In this article well discuss this condition and give you specific exercises that you can do at home to alleviate your pain. Gently tuck your chin in and retract your head backwards. I have had epidurals, physical therapy, massage therapy, and gone to a chiropractor. sit up with twist. This makes the disc very difficult to heal, simply because most medical treatments depend on the blood stream to transport the medication that is chosen for treatment. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. OMG just read your comment I had a work accident in May 2017injury results from accident c6 c7 herniated discs. The spinal cord is a thin long, tubular structure that encloses the central canal of the spine that contains the cerebrospinal fluid. Proper posture can help relieve neck pain. Driving is atrocious and I'm not able to work. BULGE AT C5-C6 AND C6-C7 INDENTING THE VENTRAL THECALSAC WITH MILD NARROWING OF NEURAL FORAMENS BOTH Sides please suggest me kon sa exercise mai karu, I tried the upper back pain which u had taught in this video siri got relief aftee trying it for the first timd itself.. It affects everything I use to do. I would appreciate any medical advice/ treatment options (non-surgical), sleeping/sitting positions that you can send me on relieving the pains associated with a C3-C4 herniated/ bulging disc, including pains in the neck, shoulders, arms, and numbness in both hands and feet. What are the most likely causes of upper back pain? Been through multiple injections and pt that never ends. It was a relief to read this article as I haven't been able to find an explanation for my months of pain in the back rib area. This also aggravates the injured disc, and you will dramatically slow your healing time. I had spine surgery 2010. microdisectomy L5 / S1, now I have prolapse of L5 / S1 disc with osseous tissue that narrows the spinal canal by 10 mm, and bulging L4 disc that narrows the spinal canal by 11mm. This makes no sense to me. Maintaining proper sitting posture throughout the day can also decrease pressure on the affected nerves in your neck. So, can I do these exercises because of my L4? Lie on your back on a table or bed with the bottom of your neck in line with the edge. McKenzie exercises have never helped my sciatica. Avoid shrugging your shoulders toward your ears. In fact, this condition is often misdiagnosed at first, because the symptoms arent always in the neck. In today's post let's uncover about the cervical herniated disc and the ideal exercises for this condition. One diagnosis is facet syndrome, but I feel like it is a soft tissue injury. I experienced pain sporadically during the first 2 years and the pain was worse during the next 2 years. The purpose is to remove pressure on the spinal cord/nerve roots by removing the damaged disc and reconstructing the spinal cord. Holding a resistance band (level of resistance you use depends on your individual strength level) with both hands, straighten your elbows and bring your arms out in front of you. (3), One of the best ways to improve C6 and C7 disc herniation is through maintaining a proper sitting posture throughout the day. We have this article about sleeping positions: https://backintelligence.com/how-to-sleep-with-lower-back-pain/. Arch Phys Med Rehabil. P.S. Then after the rest i went through many many helpfull videos and then found this. Gently turn your neck so that your chin moves toward your shoulder, stopping when you feel a stretch. (2014). While it can be tempting to remain sedentary, exercise can help your neck muscles following a flare-up, eliminating stiffness that can contribute to neck pain. Herniated discs have two major causes: normal spinal aging along with deterioration and injury. Its a must keep in mind to continue even after your recovery guys. Using real ice rather than an artificial ice pack will provide better results. Hold this position for 30 seconds, rest, and repeat 3 to 5 times throughout the day. Been on Predzone packs, painkillers and finally got an MRI today. Exercises studied include yoga (side plank), Pilates, side shift and the hitch exercise, the active self-correction, the chiropractic biophysics (CBP) mirror image, the FED, the scientific exercises approach to scoliosis (SEAS), the Schroth exercises and the Schroth Best Practice (SBP) program. They will discuss specific exercises that a person should and should not perform during the recovery period. I normally have pain in my legs, just cant put pressure, sometime cant walk. What is Spinal Cord Compression & How Common is it? The cervical region comprises 7 vertebrae from C1 C7 which are present in the neck. Exercises to Treat Numbness From Poor Posture, Pinched Nerve in the Shoulder? Avoid Long Walks or Running. Dont over-rotate your head behind you and avoid twisting your neck. Exercises for easing and preventing upper back pain, What to know about herniated disc surgery. Discuss with her exercises you typically perform. All this while you do not look down and do not drop your head. To stretch this muscle: Exercises and physiotherapy are often important parts of recovery from a herniated disk. This begs the question if these treatments dont heal the disc, why use them? You seemed to have two contradicting information, please clarify it. Seth Neubardt, a board-certified cervical spine surgeon, recommends avoiding any high-impact exercises while your herniated disc is healing.. Sometimes patients will be diagnosed with a bulging disc and be curious as to how that differs from a herniated disc. desperately, i had a blood test and found out that my vitamin D is 23.8 ng/ml, and Ferritin is 22.9 ng/ml, i started to take a medicine 5 weeks ago, but unfortunately i didnt get better yet,so it will be really appreciated if you could help out, and put my mind to rest by answering the following are the symptoms that i feel related to my cervical disc issue?And should quite working out and lifting weights? I have had bulging disc L5-L4 for 15 years now and your videos are super helpful and of course fun to watch. [1], * Please note, not all herniated discs cause pain so you want to get a proper diagnosis.[2]. are lunges bad for herniated disc. are lunges bad for herniated disc. This is an activity that you should avoid because the velocity in which your head comes into contact with the water allows a significant force to be placed on your neck. Additionally, C6 paralysis can lead to muscle atrophy, difficulty breathing and even difficulty swallowing. Last week I really hurt myself trying to do laundry. Avoid holding a phone between your ear and shoulder this can increase nerve pressure caused by your herniated disc. Ive spent the last year having flare ups of horrendous headaches at the base of my head, dizzy, chest pains, numbness and pins and needles down my left arm and hand. hanging toes to bar. Now lean forward and slightly away from the extended arm. The symptoms of c5-6 disc herniation include numbness or tingling, burning and weakness. A cervical herniated disc can occur from a neck injury and trauma. I would like to know how bad is the situation and can both discs heal permanently?? How many times a day should I do the above exercises for relief of pain? Treatment of the C6-C7 spinal motion segment includes both surgical and nonsurgical methods. Position your monitor straight in front of you at eye-level. al. do you have any info about people at work and they have to pick things off the floor everydayyou cant avoid it. I also didn't realise there was only a 16% chance of surgical success. This will help to strengthen the muscles of the spine and will also reduce the pain in the region of the neck and spine. These are small exercises which are very useful thank you sir, but sir I want more yogas which are useful for cervical spondylosis so that I can do daily more than 1 hour. Although these treatments will often provide relief, the result is usually very temporary. Doing gentle activities and exercises will strengthen the muscles that support the spine and reduce pressure on the spinal column. You feel pain or numbness / tingling that radiates from the neck down to shoulder, upper arm to your thumb. Simply sit on the ball, keep your head looking straight ahead, and gently bounce up and down for about 5 minutes a day. So I might thank you in every video. Also have degenerative changes, ligament hypertrophy and facet arthrosis on lumbar spine. This article will discuss what a C6 C7 herniated disc is, how it occurs, and 3 steps you can use for relief.Arm and Shoulder Pain. Its hard to explain, but essentially it feels like Ive pinched or snagged the nerve on the right side and cant stand up. My specialist almost gave me a heart attack from the way he described my bulge. hanging oblique crunch. Cervical Herniated Disc Treatment in NYC. When the disc becomes herniated, it can put pressure on the nerves in the neck and cause pain. Watch this video: https://youtu.be/fuh7NB8L7rk.Find useful health product that I recommend on Amazon:https://www.amazon.in/shop/drsunitphysio.Some of the useful playlist to help you:1: Back pain video series:https://www.youtube.com/playlist?list=PLhdKkNP3sLkC6rV80H0mG68N3R4X-q3zf.2: Health device reviews:https://www.youtube.com/playlist?list=PLhdKkNP3sLkBe0EBFKSd1UT3Y0Wi1Orf9.3: Joint pain video:https://www.youtube.com/playlist?list=PLhdKkNP3sLkBCQ_DteTt2huRLd8i9omL4.#DrSunitPhysio #exercisesforherniatedcervicaldisc, Video taken from the channel: Sunit PhysioTherapist, Famous Physical Therapists Bob Schrupp and Brad Heineck present how to heal a bulging disc versus a herniated disc. You have helped me so much in just one day using your self traction, lift ups and sleeping suggestions. Most doctors recommend pain medication, rest, physical therapy, and other conservative treatments before considering surgery. Read more: Activities That Will Aggravate a Herniated Cervical Disc. Activities that involve high impact are bad for the herniated disc. Dr.Sunit thanks for all your videos because it gave me alots of learning and i hope your youtube videos will last to give more helpfull tips to the other i like your videos. Purpose: To stretch your neck and help you maintain . These include walking, riding a bicycle and swimming. You are the best! Sit upright in a chair and move the chin toward the chest, then back against the headrest, stretching the neck. I now have two bulging discs in my lower back that are causing pain in the back and right leg. Sources:[1] Constantoyannis C, Konstantinou D, Kourtopoulos H, Papadakis N. Intermittent cervical traction for cervical radiculopathy caused by large-volume herniated disks. If you have lumbar degenerative disc disease, check out this Video Series: Exercises for Lumbar Degenerative Disc Disease for stretches that ease low back pain. I also have a meniscus tear in the left knee and a rotator cuff tear in the right shoulder. Exercises at home are aimed at improvement in flexibility of the thoracic spine and may include extension in lying, standing, and sitting performed six to eight times throughout the day. While jogging and running are generally seen as an "easy" exercise and associated with low- or mild-impact, jogging and running usually . So, why is a herniated disc so painful and problematic? Doing therapy but its slow slow progress. Consult a physical therapist for safe exercise instruction with a cervical herniated disc. Cervical spinal stenosis that causes nerve compression can result in upper body pain. Workers comp has denied everythingand because of that I now have a two-level disc herniation with an s-1 nerve root compression and severe radiculopathy going all the way down the left side to my toes. Surgery may be considered when nonsurgical treatments fail to relieve pain or in cases where severe spinal cord or C7 nerve damage progresses. You may be experiencing nerve spasms and pain that would make exercise difficult. Herniated disk in the lower back. I'm going to try the ice question will the c6-c7 cause my headaches and dizziness? Your symptoms sound like ms! I was a 2x NCAA champion in the shoutput at USC and I represented the USA at the 2007 World Championships as well as the 2011 PanAm Championships. updated on December 8, 2019 April 15, 2008 Back/Spine. Top 3 exercises for a cervical disc herniation. Like what exercises can I start doing to strengthen my lower back so as to avoid the problem again. By fully lengthening the muscles that attach to or surround the neck, herniated or degenerated cervical discs will be allowed to heal. C6-C7 is the nerve that runs from the left side of the brain to the right side of the body. Avoid holding a phone between your ear and shoulder . In this article, we look at 6 possible exercises that.C6 C7 Herniated Disc Neck Pain and Weakness Exercises Relief on the nerve that is affected and the most common is the C6-C7 so i. The doctor said it was a bulging disc but gave me no advice. Take frequent breaks to allow your muscles to relax. none of these exercises seem to work. I have drop foot for about 3 weeks with just numbness no pain at all anywhere. None of the medicine they gave me so Im not taking anything. Standing Chin Tuck Exercise for C6-C7 Disc Herniation: Herniated C6 and C7 gets worsened due to poor posture of the spinal cord and can make the herniation worse. C4 C5 Bulging . Also some tingeling and numbness in left index finger and arm. The C5-C6 disc bulge treatment program at Chiropractic Specialty Center (CSC) is the most comprehensive non-surgical slipped disc treatment for C5-C6. So, of course, Ive gained weight which I definitely didnt need. With that being said, here are few movements that are generally safe for those with a bulging disc: Heel taps: Static abdominal exercises are great for strengthening the core and stabilizing the spine. Lets discuss the treatment options available for a C6 C7 herniated disc before we discuss the 3 tips Ill be sharing with you to help alleviate your pain. Most people don't realize how much they actually bend over in the course of a day until they have a herniated disc or another back injury. Last week my back made a popping noise when I bent forward and twisted to pick something up. I recommend that you repeat the ice treatment every hour that youre awake, and you should start to notice some relief after 3 or 4 treatments. Sleeping in a recliner chair is okay to try. Kuijper B, et al. Grasp the chair youre sitting in with your left hand and let your shoulder blade move down. J Manipulative Physiol Ther. Intense cardiovascular exercise, like sprinting or high-intensity aerobics, also may place too much strain on the spine, damaging herniated discs. Some muscular discomfort (burning) is ok, but pain in the arms or neck is not. Smoking. Here for You! Cervical radiculopathy (pinched nerve). The result can be pain in the neck and shoulders and numbness or tingling in the hands and arms. Poor Posture/Posture Dysfunctions Usually this means Kyphotic posture which is defined by. I am waiting your valuable reply.Thank you. About 30 minutes later my lower back started hurting, then I noticed my upper body shifted. It may even cause lifelong problems. My moral plummeted. Well, this jelly is very unique, because this is where the discs of the spine store the oxygen and nutrients they need in order to stay healthy. Herniated discs are most common in early to middle-aged adults. Short golfing life just about 5 years but pain avoidance had instigated some weird swing accommodations after back and neck issues. If you are experiencing serious medical symptoms, please see the Your exercises helped me completely heal a herniated lumbar spine disk that was on a nerve! Dealing with C5 C6 Disc Herniation Symptoms. This exercise is meant to stabilize and strengthen the muscles in the mid-back which will allow your posture to improve. Because of this, if a C6 C7 disc herniates, it is very common that a person will not only experience neck pain, but you may also experience pain in the arms, weakness in the hands and arms, shoulder pain, chest pains, uncontrollable sweating, headaches, etc. These exercises can be done in many positions. You should feel the muscles between your shoulder blades contracting/squeezing. And I can feel my pain centralised and now it feels altogether in my lower spine.Please guide me. Dr. Oliver has been practicing in Massachusetts since 2007. If you have a herniated disk in your lumbar spine, the pain might come down your leg, down your butt, over the hip and down the leg, says Dr. Pelle. Followed your advice and all symptoms gone by the time I got to a neurosurgeon appointment. Let me give you a very specific example, since this article is about a C6 C7 disc that is herniated. subscribe to this channel here-https://www.youtube.com/c/Crushbackpain?sub_confirmation=1. Exercises should not hurt. Gently tuck your chin in and retract your head backwards. Gentle activities that can help with a herniated disk include: Perform all exercises in a slow and controlled manner, especially when bending or lifting. Any suggestion will be helpful, Dis is what exactly i am Suffering thank you so much god bless youDear Sir how to contact you.. please share me your contact details. C5-C6: This disc herniation compresses the C6 nerve root. Exercises that might exacerbate symptoms of patients with disc herniations include hyperextension exercises, isotonic truck flexion exercises such as sit-ups, and exercises involving trunk torsion. Hold for a few seconds and release. Thanks again. Doing McKenzies press-ups( if lying on stomach aliviates your pain). bulge is seen indenting the ventral thecal sac with mildnarrowing of neural foramens both sides.CORD IN A-PC2-C3 =1.31 cm C3-C4 = 1.17 cm C4-C5 =1.19cm C5-C6 = 1.13cm C6-C7 = 1.04cmPERISPINAL SOFT TISSUES: Normal in signal intensityIMPRESSION:POST. ), Public Policy, Planning, And Development @ University of Southern California, Your email address will not be published. Well, the area of the disc that usually herniates is actually right by the nerves of the spine, which control everything in the body. I have same problem. Get To Know What Possibly Could Be Causing Your Symptoms! Ive got 3 bulging disk in my neck and 2 in my lower back with 1 herniated disk and nothing has helped. I am in extreme pain hope this all helps thank you. In fact this exercise seems to make it worse. Place 2 fingers at the bottom of your chin. This includes lifting heavy weights, especially those you must lift overhead. This is because they are all designed to do one thing numb the painful nerve. For example, if a stretch causes a shooting pain down your shoulder and arm, dont perform the stretch. Slowly tilt your head to one side as if youre going to touch your ear to your shoulder. Slowly bend your right ear down toward your right shoulder and slightly backward. Some very simple yet effective exercises can make a world of a difference to improve issues related to C6 and C7 disc herniation. Now slowly try and bring your chin backward away from the touch of the fingers. Best to avoid it until your back feels better. Now stretch your spine up and over the back of your chair. Place the ice at the base of your neck, and leave it there for 15 minutes, or until you feel numbness whichever comes first. This will stretch out the neck and upper back muscles (Scalene & Upper Trapezius) which can get very tight on individuals with this forward neck syndrome. I cant believe it. These treatments do not actually heal the disc, which is why the pain inevitably returns for most people. The C5 C6 segments in the spine are frequently referred to as the stress vertebrae because they support most of the weight from the neck and head. quit immediately. Poor posture can affect your vertebrae, increasing the pressure on a herniated disc. During this time frame, applying ice and heat to the area can help you find relief. https://www.ncbi.nlm.nih.gov/books/NBK546618/, https://www.ncbi.nlm.nih.gov/books/NBK441822/, https://www.aafp.org/afp/2016/0501/p746.html, Intervertebral Disc Herniation: Types, Symptoms, Treatment, Diagnosis, Prevention, Lumbar Disc Herniation: Causes, Symptoms, Treatment-Manual Therapy, PT, Surgery, Massage Therapy For Disc Herniation or Herniated Disc: Deep Tissue Massage.

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c6 c7 herniated disc exercises to avoid