### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have a disc problem a lower back disc separated in car accident . I am trying not to have surgery I have a lot of problems unbearable pain I had therapy, epidural,pain killers,muscle relaxers etc. nothing has helped could you please help me if you can give me some helpful advice I would appreciate it Thank you

### output:

Hello, Thank you for writing to Chat Doctor about your query, Brief Answer - Anti-inflammatory medication such as aspirin, Physical therapy, Steroid injections etc. Explained Answer - Conservative treatment of lower disc pain usually is successful over time. It includes:1. Pain medication or pain therapies such as ultrasound, massage or transcutaneous electrical nerve stimulation2. Anti-inflammatory medication such as aspirin, ibuprofen and acetaminophen3. Physical therapy4. Steroid injections5. Education in proper stretching and posture6. RestHowever, if your pain doesn't respond to conservative treatment in two to four weeks, your condition affects your bowel or bladder function, or if it threatens permanent nerve damage, your doctor may suggest surgery. The surgery usually includes removing the part of the disc that has squeezed outside its proper place, called a discectomy. The surgeon also may want to remove the back part of the vertebrae, called the lamina, In a laminectomy; or to surgically open the foramen, the holes on the side of the vertebrae through which the nerves exit, in a foramenotomy. Only about 10 percent of adult lumbar disc patients require surgery and even fewer child Chat Doctor. Hope You will find it out helpful. Thanks And 