Sir, I am a woman of 46 years old. I am facing some back pain which transmit towards heel in some particular position. After consulting with the doctor I did MRI which I am including in the following. The advise I am getting from doctor differs from others like some suggest for surgery others for conservative treatments like thrapy,traction and exercises. My question is according to my MRI report which treatment would be better for me pls advise me. "My MRI report" - Mild loss of lumber lordosis is noted.The vertebral alignment is within normal limits. The vertebral bodies appear normal in heights and demonstrate a normal patern of marrow signal intensity. The conus medullaris is normal in location and appearance. No abnormality of the visualised retroperitoneal or paravertebral soft tissue is shown.

L5-S1:Level is unremarkable. L4-L5:Desiccated disc with mild reduction of disc height. Central and left para central disk extrusion is noted. The extruded disc material indenting ventral thecal sack and compressing traversing L5 nerve root left side. Spinal canal is moderately stenosed. L3-L4: Desiccated disc with normal disc height. Central and both paracentral annular disc bulge indenting ventral thecal sack without nerve root impingement. L1-L2 & L2-L3:Levels are unremarkable.

Impression: 1) a case of disc herniation and nerve root impingement. 2) L4-L5: Desiccated disc with central and left paracentral disc extrusion indenting ventral thecal sack and compressing traversing L5 nerve root of left side. Spinal canal is modertaely stenosed. 3) L3-L4: Desiccated disc with central and paracentral annular disc bulge indenting ventral thecal sack without nerve root impingement. 4) L1-L2, L2-L3 & L5-S1" Unremarkable.