<s>[INST] Hello, Says impressionMy mri says small centrAl L5-S1 disc herniation/protrusion slightly indenting the thecal sac without root displacement.   Can you tell me what this means or how to treat?  I took a nasty fall and pain mess just make me sleep and sick to,my stomach.   I have severe back pain if I sit to long have spasms that's shoot from lower back up my back to neck! Please help me [/INST] HIThank for asking to HCMRight now complete bed rest is the option you have with symptomatic analgesic treatment, the over all management is depend upon your clinical condition but in most of the cases conservative line of treatment gives the good result, in very rare condition the surgical intervention  is needed, have nice day. </s>