<s>[INST] my daughter is suffering with l4,l5 disk compression since 1 year she is a good classical dancer she started her dance from 5 years onwards and now she is 16 year old she is suffering a lot . we have shown her to a doctor he ave a steroided it worked for 6 months now she is in 9 month again the pain is repaieated we went to the same doctor he saw the previous MRI scan and told it is a operation case but she is too small to go to operation so we will go again to the steroided but we came back and we thought to do physiotherapy to her so we appointed an lady physiothepist today she came and done some exercises and ultersound, But today when my daughter came from college she said first time that iam getting neck pain. so, this is the case of my daughter she goes to college at 7AM and come back at 7PM . so,please doctor what i must do to my daughter please suggest me.   my name is devi [/INST] HiT hanks for writing to Chat Doctor Disc problems usually occur with severe back and neck strain. Working for long hours at the computer, staring, sitting in abnormal postures, lifting heavy weights could precipitate disc problem.  Possibly your daughter is over strained by too long college hours (7 to 7). It is important that she takes adequate fluids, good rest, nutritious diet. Surgery is indicated for disc problems only if there are signs of nerve root compression with muscle weakness. Surgery is indicated only when physiotherapy, adequate rest and medications fail. It is important to strengthen the neck and back muscles which would help take the strain off the disc. For your child a good physiotherapy would definitely heptanes and regards </s>