We wanted to share some interesting results as recently reported in the European Spine Journal article, “Centralization in patients with sciatica: are pain responses to repeated movement and positioning associated with outcome types of disc lesions?”1 The study included subjects from 18‐65 years old who presented with acute and subacute radicular pain of dermatomal distribution to the knee or below and pain greater than 3 on a 1‐10 scale:
- 84.8% responded to standardized MDT physical assessment procedures.
- After the physical assessment all subjects received MRI and classified for normal bulging, focal protrusion, broad‐based protrusion, extrusion and sequestration.
- 83.7% of the people with normal discs or discs with bulge and an intact intradiscal pressure were able to centralize. The patients with extruded and sequestered discs with certain lack of intra‐discal pressure had the highest centralization level of all at 93.5%.
We hope this finding continues to help explain why the MDT process deserves consideration as one of the first steps in a conservative diagnosis and treatment approach for lower back pain and sciatic type pain.
We are providing MDT assessments FOR FREE to help identify responders and educate them on how to care for their own back and be pain‐free with less dependence on health care providers.
Author
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We are physiotherapists passionate about movement and rehabilitation, with a clear goal: helping people better understand their pain and return to an active, unrestricted life.
Through our practice and content, we share practical, science-based approaches to prevent injuries, relieve pain, and sustainably improve mobility. We believe that well-informed patients make better decisions and achieve better outcomes.
Richard Bouzaglou, B.Sc. PT
Physiotherapist | Co-Founder
An experienced professional, Richard is the co-founder of the AMS Medical and Rehabilitation Center, where he has played a key role since 2008. With a background in sports medicine and physiotherapy, he has developed strong clinical expertise, particularly working with elite athletes.
His practice is based on a comprehensive approach that integrates advanced manual therapy, functional rehabilitation, and personalized care. Committed to continuous education and mentoring students, he is known for his clinical rigor and his ability to build lasting, trust-based relationships with his patients.
Moshe Vazana
Physiotherapist
With over 15 years of experience, Moshe is recognized for his precise, evidence-based approach. A physiotherapy graduate with advanced training in several methodologies, including the McKenzie Method (MDT) and the Mulligan Concept, he specializes in treating musculoskeletal and spinal conditions.
His international background and commitment to excellence enable him to provide care that is tailored, effective, and sustainable. Passionate about knowledge sharing, he is also actively involved in training the next generation of physiotherapy professionals.
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