<s>[INST] Hi I am Viral and 39 years old and is detected with Incidental note is made of posterocentral protrusion of L5-S1 disc, compressing both traversing S1 nerve roots . Can you pl. advise the treatment. currently, if I stand / walk for long time, I feel pain. The pain is on both side of lower back when press gives relief. Appreicate your expert advice [/INST] Hi, Since you have bilateral compression on S1 nerve roots you might have radiating pain on your calf and foot. Physical therapy treatment will help you. Also taking hot packs on your back. Exercises like: #Back press#bridging#yoga (avoid back flexion)#McKenzie extensor regimen (can search the net)#Strengthening of hip, knee muscles#Diaphragmatic breathing #kegles exercise #walkingMedicine (one week dose): #neurobion forte # acetaminophen #calcitriol Hope this helps. Let me know if I can assist you further. </s>