<s>[INST] Hello Doc, I am 42 years, my problem is L5-S1 bulged disc, this was found when I went for a MRI in March 2011, I have been having this back pain almost 24 hours a day and get this tingleness in my left foot on and off.  The main problem is I cant sit for more than 20 mintues on my office chair.  I can walk and drive my car without any problem. I am considering to go for percutaneous disc decompression procedure, please advise. [/INST] Hi, Welcome to Chat Doctor. After going through your query I think your You are suffering from lumbar disc prolapse. There are two treatment options. First option is Rest in position of relief(generally lateral position with both knee bend), NUROKIND GOLD ONCE DAILY and analgesics (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as attract three times a day after meals) is required. OMEPRAZOLE 20 MG before meals prevent acidity caused by analgesics. This method needs patience as it take longer treatment times sometimes up to 6 months. Second option is go for surgical operation(Discectomy). It can be open or percutaneous. I think sufficient time has passed, and you are not relieved, you can go for it. I think your query answered. Welcome to any follow-up query. </s>