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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.
EN
Introduction As many as 80% of adults suffer from low back pain. Therefore, it is significant to develop an effective and reliable method of diagnosing and treating low back pain. One of the rehabilitation methods is a mechanical diagnosis and therapy method developed by Robin McKenzie. The aim of the study was to review the publications assessing the effectiveness of McKenzie Method in diagnosis and therapy of low back pain and to compare it with other widely applied physiotherapeutic methods. Material and methods The analysis included 50 articles from the last 20 years dealing with the issue of diagnosis and therapy of low back pain with the use of McKenzie Method. After the application of inclusion criteria, 22 publications were taken into account in the final analysis. The following databases were used: Google Scholar, PubMed, the Library of the Centre of Postgraduate Medical Education and the Main Medical Library. Results The research revealed high effectiveness of McKenzie Method in diagnosing pain depending on the level of qualifications of therapists applying this method. It was concluded that McKenzie Method is an effective solution in low back pain therapy as it produced better results than standard rehabilitation and similar results to other therapeutic methods. Conclusions A complete training regarding this method is significant for achieving high effectiveness of diagnosis. The combination of McKenzie Method with other forms of therapy gave the best results in improving spinal mobility and general quality of life as well as reducing the level of disability.
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