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

### input:
L2-3 Level The disk space is narrowed and desiccated. There is a diffuse disk bulge at this level of approx. 3-4 mm. Endplate reactive changes are present at this level. There is no significant central stenosis. There is no significant foraminal stenosis despite these degenerative changes at this leve. L3-4 Level. Mild diffuse disk bulge of about 3 mm is present at this level. No significant central or foraminal stenosis. Desiccation changes in the disk are present. L4-5 level. The disk space is lightly narrowed. Mild bulging of the disk is present of a couple millimeters. Facet degenerative changes of a mild degree are present with some mild thickening of ligamentum flavum. No significan central ro lateral stenosis despite the findings. L5-S1 Level. Mild facet degenerative changes are present. No significant central or lateral stenosis. Abnormal signal probably die to hemangiomas present at S2 and S3 level. IMPRESSION: Degenerative disc changes particularly at the L2-3 level with bulging disk and mild central stenosis. No significan foraminal stenosis. Endplate reative changes. Probable hmangioma of bone at the S2 and S3 levels. No sacral ala lesion. Mild scollotic curvature of approx. 20 degrees convex left. This is the typed report from the MRI. It doesn t sound much - but I sure do hurt and the pain runs down both of my legs. Aleve and such do nothing to help the pain. Would a stronger pain pill work or do I need to see a pain management dr. or a neurosurgeon?

### output:

I would recommend at this time seeing a Neurosurgeon. It appears that you are having sciatica due to "disc bulge" causing nerve root compression. Often this may require stronger pain medications such as Gabapentin, Pregabalin, Duloxetine and sometimes even narcotics like HY Chat Doctor.  Physical therapy is often helpful at least partially with the pain. If all these fail, then surgery may be necessary. Since these medications need to be prescribed by a specialist and need adjustment, I would recommend you see a Neurosurgeon to discuss various treatment options.