High Power Laser Therapy for Herniated Disc and Lumbosacral Radiculopathy

Inclusion Criteria: * Patients diagnosed by orthopedic or neurological consultants depended on MRI assessment as disc herniation (L4-L5/L5-S1levels) with lumbar radiculopathy. * patients from both genders. * The patient age will range from 30-45 years old. * Duration of illness ranged from 3 to 6 months. * All patients in the study should be ambulant independently. * Medically and psychologically stable patients. Exclusion Criteria: * Previous lumbar or hip surgery. * Cauda equina syndrome * Fracture of the bones of lower extremity. * Major neurological condition (e.g., stroke, multiple sclerosis, Epilepsy, Meningitis, and Brain tumor). * BMI not more than 30. * Vascular Impairment. * Pregnancy and Gynecological problems * Red flags: spinal tumors, spinal fractures, osteoporosis, infection.