DECOMPRESSIVE THERAPY IN A YOUNG PATIENT WITH A HERNIATED DISC

This case is presented by a 23-year-old male patient when he attended the department for the first time in 2024 with complains of lower back pain and left foot pain with tingling down the S1 dermatome started on the left. Reports inability to walk independently, inability to bend forward, difficulty standing up from a sitting position, accompanied by severe pain. Based on medical history, he has been playing water polo intensively for several years. Тhe complaints appeared during physical exertion. He has not taken any treatment, and the pain syndrome increased and appeared scoliosis. The MRI scan established a L5-S1 disc herniation - large paramedian disc herniation on the left with a wide base, reaching the left neuroforamen, measuring over 10mm with initial caudal migration. The patient refused surgery. In October 2024 he was admitted for treatment at the Pavel Banya Medical Center in the town of Pavel Banya with increasing lower back pain and left foot tingling, difficulty walking on his own for more than 10 meters and severe vertebral syndrome. In this case were used 3 courses of 10 underwater lumbar spinal decompression procedures by the method of Prof. G. Gechev in Medical center for rehabilitation that is adapted for these devices.