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If you have ever seen a lumbar patient with a true lateral shift, you would know they're not the easiest or straight forward patients. An ipsilateral lumbar lateral shift usually has poor outcomes. If it's actually discogenic and you have to shift away from the side of symptoms (they are shifted toward the pain instead of away) to correct the shift, this could make the disc protrude or herniate worse. In the 200th episode of Untold Physio Stories, Erson goes over the problem solving he used to treat an ipsilateral lateral shift case he saw recently.
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