<s>[INST] hi!i am 19 years old. i am suffering from lower back pain on right side from one month. MRI report shows diffuse annular bulge at L4-L5 toL5-S1 level causing sever compression in bilateral neural foramina .what precaution and treatment is to be taken ??? [/INST] DEAR PT avoid acute forward bending,because in your case chances to prolapse of disc is more with this position,no doubt it can be cured without delay,no operation,no incision,no gen anesthesia ,only day care interventional percutaneous intradiscal nucleotomy with rf probe,just 1 hrs  get back your home same day,no need of any prolong rest </s>