{"id":521,"date":"2026-08-02T17:20:15","date_gmt":"2026-08-02T17:20:15","guid":{"rendered":"https:\/\/www.flatfootjourney.com\/?p=521"},"modified":"2026-08-02T17:25:51","modified_gmt":"2026-08-02T17:25:51","slug":"physiotherapy-journey-l5-s1-disc-protrusion","status":"publish","type":"post","link":"https:\/\/www.flatfootjourney.com\/?p=521","title":{"rendered":"My Physiotherapy Journey (Part 1): When One Fall Changed Everything"},"content":{"rendered":"<p style=\"text-align: left;\"><span style=\"font-size: 16px; -webkit-text-size-adjust: 100%;\">When I created FlatFootJourney, I thought I\u2019d be writing mostly about congenital flat feet.<\/span><\/p>\n<p>I never imagined that my journey would eventually include bunions, degeneration in both menisci, an L5-S1 disc protrusion, and twenty physiotherapy sessions.<\/p>\n<p>Looking back, it almost feels as though each diagnosis prepared me for the next. At the time, though, it simply felt like my body kept presenting me with a new challenge just as I was learning to live with the last one.<\/p>\n<p>This is the story of how my physiotherapy journey began.<\/p>\n<h2>My First Experience with Physiotherapy<\/h2>\n<p>Before my back problems, I had already been referred for physiotherapy because of degeneration in both of my menisci.<\/p>\n<p>Most of my sessions consisted of TENS therapy, infrared heat, and a handful of exercises.<\/p>\n<p>Whenever one of those exercises became painful, I remember the physiotherapist saying,<\/p>\n<p>\u201c<strong>Pain is good.<\/strong>\u201d<\/p>\n<p>I\u2019ll be honest\u2014that approach never sat well with me.<\/p>\n<p>When my sessions ended, I couldn\u2019t say I felt noticeably better. Instead, I walked away wondering if physiotherapy simply wasn\u2019t for me.<\/p>\n<p>At the time, I had no idea that this first experience would eventually become the standard I compared everything else against.<\/p>\n<h2>A Trip That Was Supposed to Be Relaxing<\/h2>\n<p>Months later, my family planned a short two-day trip to my brother\u2019s house in Arta.<\/p>\n<p>If you\u2019ve ever lived in Djibouti, you\u2019ll understand why we were looking forward to it. Arta\u2019s cooler weather is always a welcome escape from the city\u2019s heat.<\/p>\n<p><img data-opt-id=598955601  fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-medium wp-image-527\" src=\"https:\/\/ml2bexwkfmao.i.optimole.com\/w:300\/h:200\/q:mauto\/ig:avif\/https:\/\/www.flatfootjourney.com\/wp-content\/uploads\/2026\/08\/Physiotherapy-Journey-Part-1-–-Arta-Hills.jpeg\" alt=\"Rocky hills and dry landscape in Arta, Djibouti\" width=\"300\" height=\"200\" srcset=\"https:\/\/ml2bexwkfmao.i.optimole.com\/w:300\/h:200\/q:mauto\/ig:avif\/https:\/\/www.flatfootjourney.com\/wp-content\/uploads\/2026\/08\/Physiotherapy-Journey-Part-1-\u2013-Arta-Hills.jpeg 300w, https:\/\/ml2bexwkfmao.i.optimole.com\/w:1024\/h:683\/q:mauto\/ig:avif\/https:\/\/www.flatfootjourney.com\/wp-content\/uploads\/2026\/08\/Physiotherapy-Journey-Part-1-\u2013-Arta-Hills.jpeg 1024w, https:\/\/ml2bexwkfmao.i.optimole.com\/w:768\/h:512\/q:mauto\/ig:avif\/https:\/\/www.flatfootjourney.com\/wp-content\/uploads\/2026\/08\/Physiotherapy-Journey-Part-1-\u2013-Arta-Hills.jpeg 768w, https:\/\/ml2bexwkfmao.i.optimole.com\/w:1500\/h:1000\/q:mauto\/ig:avif\/https:\/\/www.flatfootjourney.com\/wp-content\/uploads\/2026\/08\/Physiotherapy-Journey-Part-1-\u2013-Arta-Hills.jpeg 1500w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>Everything was going as planned\u2026<\/p>\n<p>\u2026until I slipped in the bathroom.<\/p>\n<p>The fall happened so suddenly that, for a split second, it honestly felt as though my heart had stopped.<\/p>\n<p>I stayed where I was for a moment before finishing getting dressed and walking back outside.<\/p>\n<p>The moment my family saw me, I could tell they knew something had happened. Their expressions immediately changed, and they asked if I was alright.<\/p>\n<p>Fortunately, as the minutes passed, the pain gradually eased.<\/p>\n<p>I convinced myself it had simply been a bad fall.<\/p>\n<p>I expected to be sore for a few days before returning to normal.<\/p>\n<p>I couldn\u2019t have been more wrong.<\/p>\n<p>When the Pain Started Coming Back<\/p>\n<p>Months passed before I noticed something strange.<\/p>\n<p>Without warning, a sharp pain would catch me in my lower back.<\/p>\n<p>Sometimes it happened while lifting my young nephew.<\/p>\n<p>Other times it happened when I bent over, stood up, or made what should have been an ordinary movement.<\/p>\n<p>Occasionally, there wasn\u2019t even an obvious reason.<\/p>\n<p>Each episode stopped me in my tracks.<\/p>\n<p>Then, just as suddenly as it appeared, the pain would ease again.<\/p>\n<p>Every time it settled down, I told myself it probably wasn\u2019t serious.<\/p>\n<p>Until it came back.<\/p>\n<p>Again.<\/p>\n<p>And again.<\/p>\n<p>Eventually, I stopped trying to explain it away.<\/p>\n<p>I needed answers.<\/p>\n<p>Looking for Those Answers<\/p>\n<p>I made an appointment with Dr. Ismael Hassan, an orthopedic specialist at Mutualis Centre M\u00e9dical in Djibouti.<\/p>\n<p>After listening carefully to my symptoms and examining me, he recommended additional imaging before making a diagnosis.<\/p>\n<p>He requested:<\/p>\n<ul>\n<li>an MRI of my lower back,<\/li>\n<li>X-rays of both knees,<\/li>\n<li>and X-rays of my feet because of my bunions.<\/li>\n<\/ul>\n<p>Waiting for the results was unsettling.<\/p>\n<p>Part of me hoped the scans would show nothing serious.<\/p>\n<p>Another part simply wanted to understand why my body seemed to keep collecting diagnoses.<\/p>\n<h2>The Moment My MRI Became Real<\/h2>\n<p>When I returned for my follow-up appointment, Dr. Ismael didn\u2019t just look at the printed MRI images.<\/p>\n<p>He opened the MRI from the CD on his computer.<\/p>\n<p>At first, I honestly couldn\u2019t make sense of what I was looking at.<\/p>\n<p>To me, every image looked almost identical.<\/p>\n<p>Then he pointed to one area and circled it.<\/p>\n<p>Suddenly, I saw it.<\/p>\n<p>Even without medical training, I could tell that one section looked different from everything around it.<\/p>\n<p>That was the disc protrusion.<\/p>\n<p>Until that moment, L5-S1 disc protrusion had simply been a medical term.<\/p>\n<p>Seeing it on my own MRI made it real.<\/p>\n<p>The diagnosis explained the recurring lower back pain and the sciatica symptoms I had been experiencing.<\/p>\n<p>The part of that appointment I remember most, however, wasn\u2019t the MRI.<\/p>\n<p>It was something Dr. Ismael said before I left.<\/p>\n<p>\u201cYour remedy is exercise. You have to keep doing it for the rest of your life. You can\u2019t afford not to.\u201d<\/p>\n<p>I remember expecting to hear about medication, injections, or even surgery.<\/p>\n<p>Instead, he reassured me that I didn\u2019t need surgery or any other invasive treatment.<\/p>\n<p><strong>Exercise<\/strong>.<\/p>\n<p>That was my treatment.<\/p>\n<p>At the time, I didn\u2019t realize those words would become the theme of my recovery.<\/p>\n<h2>A Different Beginning<\/h2>\n<p>Dr. Ismael referred me to the Djibouti Wellness &amp; Rehabilitation Center for physiotherapy.<\/p>\n<p><img data-opt-id=1433552973  fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-medium wp-image-528\" src=\"https:\/\/ml2bexwkfmao.i.optimole.com\/w:300\/h:200\/q:mauto\/ig:avif\/https:\/\/www.flatfootjourney.com\/wp-content\/uploads\/2026\/08\/Physiotherapy-Journey-Part-1-–-Rehabilitation-Centre-Reception.jpeg\" alt=\"Reception area of the rehabilitation centre where I began physiotherapy\" width=\"300\" height=\"200\" srcset=\"https:\/\/ml2bexwkfmao.i.optimole.com\/w:300\/h:200\/q:mauto\/ig:avif\/https:\/\/www.flatfootjourney.com\/wp-content\/uploads\/2026\/08\/Physiotherapy-Journey-Part-1-\u2013-Rehabilitation-Centre-Reception.jpeg 300w, https:\/\/ml2bexwkfmao.i.optimole.com\/w:1024\/h:683\/q:mauto\/ig:avif\/https:\/\/www.flatfootjourney.com\/wp-content\/uploads\/2026\/08\/Physiotherapy-Journey-Part-1-\u2013-Rehabilitation-Centre-Reception.jpeg 1024w, https:\/\/ml2bexwkfmao.i.optimole.com\/w:768\/h:512\/q:mauto\/ig:avif\/https:\/\/www.flatfootjourney.com\/wp-content\/uploads\/2026\/08\/Physiotherapy-Journey-Part-1-\u2013-Rehabilitation-Centre-Reception.jpeg 768w, https:\/\/ml2bexwkfmao.i.optimole.com\/w:1500\/h:1000\/q:mauto\/ig:avif\/https:\/\/www.flatfootjourney.com\/wp-content\/uploads\/2026\/08\/Physiotherapy-Journey-Part-1-\u2013-Rehabilitation-Centre-Reception.jpeg 1500w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>There, I met Dr. Houssein, who carried out my initial assessment.<\/p>\n<p>I brought my MRI and X-rays with me, and before examining me, he carefully reviewed each one.<\/p>\n<p>As we talked, he shared an analogy that immediately reminded me of what Dr. Ismael had just told me.<\/p>\n<p>He said I should think of exercise the same way I think about food.<\/p>\n<p>We don\u2019t eat once and expect to stay healthy forever.<\/p>\n<p>Our bodies need food every day.<\/p>\n<p>Exercise, he explained, is no different.<\/p>\n<p>Hearing two different healthcare professionals\u2014independently of one another\u2014deliver essentially the same message made me stop and think.<\/p>\n<p>Maybe this wasn\u2019t simply a temporary treatment plan.<\/p>\n<p>Maybe it was going to become part of how I lived.<\/p>\n<p>Before I left, Dr. Houssein introduced me to the physiotherapist who would guide me through the next stage of my recovery.<\/p>\n<p>Her name was Mona Mustafa<\/p>\n<p>As I shook her hand, I expected another physiotherapy experience much like my first one.<\/p>\n<p>I couldn\u2019t have been more wrong.<\/p>\n<h2>Why I\u2019m Sharing This Journey<\/h2>\n<p>When I received my diagnosis, I searched online for personal accounts from people who had actually gone through physiotherapy.<\/p>\n<p>I found countless articles explaining disc protrusions and sciatica.<\/p>\n<p>What I struggled to find were honest stories about the rehabilitation itself.<\/p>\n<p>What happens during each session?<\/p>\n<p>Does it hurt?<\/p>\n<p>Do you always improve?<\/p>\n<p>What happens when progress isn\u2019t as straightforward as you hoped?<\/p>\n<p>Those were the questions I wanted answered.<\/p>\n<p>So I decided to document my own journey\u2014not as a medical expert, but as someone living through it.<\/p>\n<p>If you\u2019re beginning physiotherapy yourself, I hope these journal entries help you feel a little more prepared and a little less alone.<\/p>\n<p>In Part 2, I\u2019ll share what happened during my first session with Mona\u2014and why it completely changed the way I viewed physiotherapy.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>What started as a family trip to Arta became the beginning of my physiotherapy journey. In Part 1, I share how recurring back pain led to an MRI, an L5-S1 disc protrusion diagnosis, and advice from two doctors that changed how I think about exercise.<\/p>\n","protected":false},"author":1,"featured_media":525,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[1],"tags":[109,14,107,105,103,104,108,106],"class_list":["post-521","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-foot-health","tag-djibouti","tag-flat-feet","tag-l5-s1-disc-protrusion","tag-lower-back-pain","tag-physiotherapy","tag-physiotherapy-journey","tag-rehabilitation","tag-sciatica"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>My Physiotherapy Journey (Part 1): When One Fall Changed Everything - Flat Foot Journey<\/title>\n<meta name=\"description\" content=\"After a fall in Arta, recurring back pain led to an L5-S1 disc protrusion diagnosis. 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