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

### input:
I am having herniation in my L4-S1 disc, this i came to know approx 1 year back when i started feeling back ache.(may due to my long sitting job or my wrong sitting posture ) I am 28 years old with 5.7 height and 58 kg weight. My MRI report shows that it is minor, i gone through several medications , approx 3 months bed rest and approx 15-20 days physiotherapy . But till date I am not recovered completely. When ever i feel severe pain it spread upto thighs, else mild pain persist all the time in my lower back. Along with this, i am having pain in my upper back also, some time it become very severe and it become hard for me even to laid down on bed on any position. Is this problem is also related to my disc herniation? Please suggest what to do next. I avoid any pain killers, i improve my diet with milk, non-veg, dry-fuits, not sure if this all help me out in heeling my problem.

### output:

Hi, Treatment for disc herniation depends on many factors and based on all that the treatment strategy in made. Important factors considered are symptoms, age, activity and presence of worsening symptoms of the patient. Now treatment modality available for this condition are many and most of the time it is started with the conservative step. Most of the time if it is not very complicated and impairing than rest and activity modification, application of ice and heat, physiotherapy, using of painkillers are done in the initial stage to control the condition. But this is not going to permanently cure this condition. After all this if it is not working than steroid is also used first in the form of oral dosage and then epidural steroidal injections. After this only the role of surgery is there which is the last resort to control and cure the condition. Taking you age in consideration and activity level I think you can avoid surgery and can control your condition with the more conservative treatment. But if it is not working than you can think for the surgery also. Hanks and take care.