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

### input:
I am 25 years old, I have back pain its too strong and especially my right leg towards the foot. I have no reflection on the knee and the foot.the MRI report says:-Large central and right lateral disc herniation at L3-L4 with severe impingement on the thecal sac. the disc herniation extends inferiorly on the right side into the right lateral recess where there is also impingement on the right L4 nerve root. there is severe compression of the thecal sac.-Small central disc herniation at L4-L5 with mild on the anterior aspect of the thecal sac. there is mild to moderate central spinal stenosis present at the level with a contribution given by the facet joint osteoarthritis that is present.-Central and right lateral disc herniation at L5-S1 moderately impinging on the thecal sac. the disc herniation also extends inferiorly into the right lateral recess where there is impingement on the right S1 nerve root.

### output:

Hallo dear friend, thanks for writing to ChatDoctori have studied your case how much is your body weight you have got disc prolapse at early aged you lift heavy weight?this is you first episode or repeatedly having same problem is there any weakness in your lower limb or upper limb?lumbar disc prolapse leads to sudden pain you need methylcobalamine, muscle relaxant with analgesic take rest,, hot or cold fomentation avoid lifting weights sit with taking support to your back continue spine extension exercises physiotherapy - SD, IF TWILL HELP if pain doesn't relieve then you need spinal decompression surgery for lumbar vertebrae, and nerve decompression for further query contact Chat Doctor. Com