What's the best treatment method for a 27 year old male with a ruptured disk?

Usually nonop care: 90% of disc herniations resolve with no surgery. Treatment involves activity modification, physical therapy & home exercise, medication for symptom control & sometimes, epidural steroid injections. Surgery is definitely indicated when a disc herniation affects bowel or bladder control which is a 1% incidence & in those with a significant or progressive weakness as well in those that fail non op.

Depends: Certainly it makes the most sense to maximize conservative therapy unless you have a neurologic deficit (weakness, decreased sensation..) or pain that is refractory to medical management. Physical therapy, heat, massage etc.. Can be very helpful. Again, if you develop a deficit most will recommend surgical treatment be at least considered.