Hi there Thanks for your question at HCM In general, disc herniation can be managed with a course of conservative care (non-surgical)over 6 to 12 weeks to start with prior to considering spine surgery. A process of trial and error is often necessary to find the right combination of treatments which might include rest, physical therapy, analgesics in oral and topical form, modality based physiotherapy like TENS,Micro wave diathermy etc. Medicines like Pregabalin(LYrica) or Gabapentin or Neurobion prescribed in appropriate doses can help in relieving tingling, You can meet your pain doctor and ask regarding the need and suitability of these medicines for you Earlier surgery will be indicated if there is progressive major weakness( that is weakness which increases markedly over 1 or 2 days) in the legs due to nerve root pinching. Rarely immediate surgical intervention may also be required in cauda equina syndrome, which is usually marked by progressive weakness in the legs and/or sudden bowel or bladder dysfunction. Otherwise a wait and watch approach is best. It is also important to note that central disc herniation associated with predominant back pain and insignificant leg pain will not respond well to epidurals, whereas one associated with significant leg symptoms and some back pain responds better. Also if the onset of back pain and central disc herniation was associated with traumatic event, it will be prudent to do a CT scan of your spine , since it is seen that in younger individuals with traumatic central disc herniation minute fractures can be seen in bony end plates adjacent to the disc herniation. This will help understand your tingling sensations better( if traumatic) Hope this helps All the best Regards Dr.SBK