Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your MRI report shows herniated disc which your suffering from sciatica. your spine doctor will first start you on pain killers and would ask you to do some exercise daily specially back exercise. if those pain killers don t work, then he/she might start you on muscle relaxants or drugs like Pregabalin or Gabapentin. Surgery will be the last option if all these remedies fail. Hope I have answered your query. Let me know if I can assist you further.