Non-surgical Restoration of L3/L4 Disc Herniation

We report the case of a 52-year-old Asian man presenting with severe lower back pain and bilateral radiculopathy due to acute L3/L4 disc extrusion, causing spinal canal stenosis L4 nerve root compression. Following ten-week conservative management plan consisting high-velocity, low-amplitude manipulation, adjunctive therapies, home exercise, patient experienced significant relief, functional improvement, near resolution deficits. A six-month follow-up MRI revealed remained asymptomatic at nine months. This highlights potential for spontaneous resorption lumbar herniation symptomatic improvement management, including chiropractic treatment. favorable natural course should be considered when deciding between early surgical intervention warranting further prospective studies evaluate effectiveness treatment role regression in herniation.