Table 2.

Timeline.

Sr.	Date	Complaints	Clinical Examination
46 years old female with history of occasional low back pain, relieved by rest.
1	1.12.2016	Acute, severe low back pain radiating towards right leg for one day Unable to sit, stand or walk. History of heavy load lifting one day before	SLR right leg 700, left leg 900. Severe tenderness and stiffness at lumbar vertebrae Paraesthesia at lateral half of right leg below knee and medial plantar region. ODI – 94 %
		MRI of LS Spine – Dessication, diffuse posterior bulge and right para-central extrusion of inter-vertebral disc between fourth and fifth lumbar vertebra, causing indentation on thecal sac, narrowing of bilateral neural foramina and indenting right traversing nerve root. Inferior displacement of extruded disc (8 x 5 millimetres) along the L5 vertebral body (Fig. 1, Fig. 2) MSU classification of IVDP – 2C
2	9.12.2016	Low back pain, stiffness grossly reduced. Could sit on bed, could stand with support for five minutes	SLR right leg 800, left leg 900, Paraesthesia slightly reduced. ODI – 80%
3	20.12.2016	Low back pain, stiffness absent. Could walk without support for twenty minutes	SLR right and left leg 900 Paraesthesia grossly reduced. ODI – 51%
4	2.3.2017	Low back pain, stiffness absent. Could perform walking, standing, sitting as usual.	SLR right and left leg 900 Paraesthesia absent. ODI – 22%
5	14.7.2017	Low back pain, stiffness absent. Pain recurred in case of travelling, lifting heavy things	SLR right and left leg 900 Paraesthesia absent. ODI – 9%
		MRI of LS Spine – Dessication, mild posterior disc bulge between fourth and fifth lumber vertebrae. It caused indentation of the thecal sac, but there was no significant compression of the traversing nerve roots. Gross reduction in the inferior displacement of extruded disc (4 x 3 millimetres) along the L5 vertebral body (Fig. 3, Fig. 4)

Abbreviations: SLR – Straight Leg Rising, ODI - Oswestry Disability Index.