Two methods of treatment of men with lumbar discopathy

1. KEOMT - by all participants [40 males, 10 treatments, 2 per week, for 5 weeks, duration - will last 45 min. KEOMT will include: lumbar segmental traction - supine position, lumbar segmental mobilization (flexion, extension, gliding therapy grade III), and soft tissue mobilization]. The physiotherapist will deliver the intervention. Local cryotherapy - KEOMT-C [20 males, 10 treatments, 2 per week, for 5 weeks at the end of each session of manual therapy, duration - 3 minutes, application - paraspinal muscles on both sides of the lumbar spine up to the place of radiation pain. Local cryotherapy will be performed using KRIOPOL R30 (Kriomedpol, Poland). A stream of cold nitrogen vapor at temperature -130 degrees celsius will be applied to the paraspinal muscles on both sides of the lumbar spine up to the place of radiation pain. The distance among the apparatus nozzle and patients body surface - 10 centimeters. The physiotherapist will deliver the intervention]. Kinesiotaping - KEOMT-K [20 males, 10 treatments, 2 per week, for 5 weeks at the end of each session (after manual therapy), application - the place of pain. The group will receive taping with 2 strips (15 cm – length x 5 cm – width; Kinesio Registered Trademark Tex Gold). Duration - 20 minutes. The physiotherapist will deliver the intervention]. 2. The location - Physiotherapy department. Once a week for 5 weeks - sessions will be administered. 3. Post isometric relaxation (PIR) - a part of KEOMT - both groups. PIR - quadratus lumborum and erector spinae muscles. PIR rules: 1. Bring the muscle to its maximum length without stretching, taking up the slack. There should be only minimal or no pain. 2. The patient is asked to resist with only minimal force (isometrically) and to breathe in for 10 seconds. 3. The patient is then told to ,,let go" (relax) and exhale slowly. It is important for the physiotherapist to wait and feel the relaxation. The physiotherapis could wait 10 to 20 seconds or longer as long as relaxation is taking place. Due to pure relaxation there should be an increase in the range of motion. 4. If the patient has difficulty relaxing, hold the isometric phase for 30 seconds before having the patient ,,let go." 5. Usually three to five times is all that is necessary to obtain spontaneous stretch each session. 6. Along with the breathing, having the patient look up (eyes only). This helps facilitate the inspiration, which facilitates the muscle. Have the patient look down during expiration to aid in relaxation. The independent resercher will assess the scores of treatment.