<s>[INST] MRI conclusion: Moderate disc herniation centrally/eccentric to Left at L4-L5 causing mass effect on thecal sac and the left L5 nerve root leading to marked spinal stenosis at L4-L5.  On MS Contin 30mg TID.   Do not want to be on medication forever.  What can I do? [/INST] Hello and thanks for using HCM.I have read your question and understand your concerns.In such case, physical therapy ( traction ) and epidural injections should be considered as alternatives to actual treatment.If these treatments fail to improve your condition, decompressesive spine surgery should be taken in consideration.Hope you found the answer helpful.Kind regards. </s>