Abstract
Discogenic back pain is an increasing problem in the modern world. Conservative treatment of discopathy is comparatively popular and may be an alternative to surgery. The authors describethe case of a 32 year old male with acute back pain,
sciatica and numbness in the left lower leg. On the base of MRI imagesL4-L5 and L5-S1 two-level disc herniation was
diagnosed. The patient did not decide on surgery, so complex conservative treatment was applied, including pharmacology
and rehabilitation techniques. The symptoms resolved with permanent improvement in one year of follow up. Additionally,
the patient was encouraged to apply “healthy habits” in physical activity.
Conservative treatment in some cases of massive lumbar disc herniation may be successful.