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

### input:
Respected Doctors, I am giving the details of MRI report dated April 01, 2011 - (1) Clinical History : Presented with h/o backaches, radiating to RT. let.  (2) Sequence planned - Sagittal SE T1, Sagittal TSE T2, Axial SE T1, Axial TSE T2  (3) MRI Lumbar spine has been performed in multiple planes by using T1 & T2 weighted sequences (4) Mild osteophytic degenerative changes noted  (5) Diffuse posterior disc herniation is seen at L4-L5 level causing thecal sac compression & narrowing of both newral foramina at same level (6) Diffuse posterior disc bulge is seen at L5-S1 level causing minimal both new foramina narrowing (7) The marrow of vertebra and posterior vertebral appendages shows normal intensities (8) No e/o abnormal signal itennsities in cord.  (9) The lumbar canal dismeters are L1-L2 14mm, L2-L3 14mm, L3-L4 12mm, L4-L5 08 mm, L5-S1 08mm.  (10  This MR study reveals - Diffuse posterior disc herniation is seen at L4-L5 level causing thecal sac compression & narrowing of both neural foramina at same level, Diffuse posterior disc bulge is seen at L5-S1 level causing minimal both neu formation narrowing. Sir, I am feeling numbness in left foot fingers, backache, cannot sit on chair due to pain.  Please advise me treatment.  Is is possible without any operation, if so how.

### output:

Welcome to Chat Doctor .1. Weather operation is needed or not depending on the stage and % of herniation /bulge.2. Initially exercises are prescribed for pain relief, if it doesn't work then operative procedure / interventional procedure is done.3. Since disc is bulged and causing compression on the theta sac, and nerve compression - you are having numbness and pain.4. I would recommend having a flat bed, and exercises will give relief.5. If necessary your orthopedics specialist may ask for a belt for less mobility of the spinal movements.6. So please try all, if not then there is no option. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.