Hi there. Thsnks for your question at HCM. Her MRI findings suggest that one of the discs is bulging. But her management will depend on her pain distribution, severity, duration and response to treatment like medicines and physiotherapy. It is also important to know whether she has only bavk pain or back pan wiyh pain radiating to legs or buttocks. Il Scenario 1: if her pain is only in the back wity no leg pain or numbness, it is best to wait and watch. She will get better with medicines, corr stabilisation back exercises, physiotherapy modalities like ultrasonic massage and micro wave diathermy. ( if she has no contraindications. Surgery is very seldom indicated in only back pain. Scenario 2: She has back pain with radiation to legs. Same protocol of medicines and physiotherapy to be followed for 6 to 8 weeks. If she does not improve next step would be steroid injectionw in her back( 2 to 3 shots over 2 to 3 months. If still no improvement final step in management ladder would be surgery. In both the scenarios urgent surgery required if she develops weakness in legs, signficant numbness, unrelenting severe pain, urine or stool pasing problems. Hope this helps you. All the best. Regards. Dr.SBK.