Impact of Mechanical Therapy on Lumbar Disc Health and Nerve Function in L5/S1 Herniation v1

This randomized controlled trial aims to evaluate the effectiveness of McKenzie therapy compared with conventional treatments in improving both structural and functional outcomes for patients with L5/S1 lumbar disc herniation (LDH). A total of 60 patients diagnosed with L5/S1 LDH will be randomized into two groups: one receiving McKenzie therapy alongside conventional treatment, and the other receiving conventional treatment only. Primary outcomes include pain intensity, neurological function, and disc morphology, while secondary outcomes assess functional recovery. The trial will provide valuable evidence on McKenzie therapy’s impact on pain relief and structural improvements, particularly in low-resource settings like Bangladesh. Results are expected to support the development of more cost-effective treatment protocols for managing LDH in such settings.