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

### input:
Hello Sir,    My name is Jaya Prakash, I am working as Computer Operator. For the Past 6 months I had a severe back pain (It hurts more when sneeze or cough). I had gone with several treatments still I had the problem. Recently, I done with M.R.I. diagnosis. the report is as follows:-             1. Loss of lumbar Lordosis.             2. Disc bulge noted at L4-L5 level causing compression over thecal sac and                    bilateral neural foramina narrowing.              3. Earily disc proplase with annular tear noted at L5-S1 level causing compression                   over thecal sac and bilateral neural foramina narrowing.              4. Rest of the Vertebral bodies are normal in height and signal intensity.              5. Posterior arch elements shows normal signal intensity.              6. Conus appear normal.              7. Facet joints shows normal signal intensity.IMPRESSION:   MRI FINDINGS S/O              > DISC BULGE AT L4-L5 LEVEL CAUSING COMPRESSION OVER THECAL SAC AND BILATERAL NEURAL FORAMINA NARROWING.               > EARLY DISC PROLAPSE WITH ANNULAR TEAR AT L5-S1 LEVEL CAUSING COMPRESSION OVER THECAL SAC AND BILATRAL NEURAL FORAMINA NARROWING.                 Please give me suggestions for early recovery from back pain which passes through my right leg. Pls give me suggestions without any surgery.

### output:

HelloThanks for your query. After going through your query I came to know that you are probably suffering from lumbar disc prolapse. It is already confirmed by MRI scan. There are two treatment options. First option is rest in position of relief(generally lateral position with both hip and knee bend), neurotopics such as mecobalamin and analgesics (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as tramadol three times a day after meals) is required. Omeprazole before meals prevent acidity caused by analgesics. Second option is go for surgical operation(Discectomy).  You can discuss with your treating Doctor about it. Hope your query get answered. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. You can also write to me directly on below link:https://www.bit.ly/ask Chat Doctor. Take care.