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

### input:
Here is my MRI results. I have had this issue for many years after lifting a strecher. Presently I have scaita nerve pain down back of my leg, numbness and tingling from the knee down, pain in the calf at times and burning on the outside of my foot. Could you give me some idea of what my treatment options would be. At L3-L4, a tiny circumferential disc bulge is present which, in conjunction with mild facet arthropathy, contributes to mild right-sided and minimal left-sided neural foramen narrowing. At L4-L5, a tiny circumferential disc bulge is present which, in conjunction with mild to moderate bilateral facet arthropathy contributes to mild right and minimal left neural foramen narrowing. Central canal is patent. At L5-S1, a tiny circumferential disc bulge is present secondary to severe disc base height loss. Mild to moderate facet arthropathy is present. These findings contribute to mild bilateral neural foramen narrowing. IMPRESSION:Multilevel degenerative changes within the lumbar spine with multilevel neural foramen narrowing but without severe central canal stenosis as described above.

### output:

Hi, treatment options should bring a holistic approach to the issue. Diet and weight loss are essential for reducing the pressure on the discs and nerves. Strengthening the back muscles can help too. Medically conservative therapy like NSAIDs is essential not only in pain reduction but also in reducing edema around the bulging discs due to chronic inflammatory state, which will release some pressure over the nerves. Your last resort is surgery and should be the last resort only if all above failed, and you develop severe neurological problems.