Inclusion Criteria:  Age: 18 - 59 years. Clinically diagnosed LDH that was confirmed by MRI. Duration of the pain: ≥ 3 months  Exclusion Criteria:  Painful spinal deformity Cauda equina syndrome Progressive neurological signs and/or muscle-wasting History of spinal surgery, spine fracture, scoliosis, tuberculosis, and tumours. Treated with epidural injections. Pregnancy