I have gone through history provided by you. No treatment is indicated for benign hemangioma
. For annular tear and disc bulge you definitely need treatment. Because of annular tear and compression of nerve roots you are likely to have persistent pain. My advice would be
(i) Have an examination by neurologist
to assess for any deficit
(ii) To continue physiotherapy
under guidance of a physiotherapist,
(iii) Have simple analgesics under care of your doctor. Personally I do not favor corticosteroids
except for local injection.
(iv) If above fails, surgery can be considered.