<s>[INST] Hi I have a small annular tear at l3-l4 disc, small disc protrusion with annular tear L4-L5 no neaural compression, broad-based disc protrusion at l5-s1 making contact with the traversing right s1nerve root  no nearal compression what does this mean in english please other than alot of pain constantly????????? i am female and 36yrs old [/INST] Hi, Thank you for posting your query. I have noted your clinical and MRI details. Based on MRI spine report, your nerves in lower back (lumbar) region have got pinched due to slipped disc. Disc is the soft tissue located between two bones (spine) in the lower back. Symptoms of disc prolapse include back pain, leg pain and tingling of legs. Initial treatment would consist of pregabalin or gabapentin capsules. Physiotherapy and back extension exercises would also help you. Only if the above measure fail, would you require epidural injections or surgery. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/ </s>