<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi I have been having back pain for a year now that is at times pretty severe. I had an MRI and it said that I have disk bulges at s1l5 l3l4. It also said I have a bone spur at l334. I have had steriod injections and they relieve the paid for about a week and it comes back. I am now seeing a physical therapist that I have been going to for about 6 weeks and have shown a small inprovement. What surgical options do I have as I am tired of hurting as my life style has changed and I want to be back to my old active self. Thank you  <response>: Hi, youre suffering from PIED at l3l4 l5s1. Due to this Disc bulge pressure occurs on nerve roots radiation of pain occurs in that dermatome. Physiotherapy like intermittent lumbar traction, back exercise reduces pressure of disc bulge for some time gives relief. Steroid injections reduce edema thereby reduces pressure over nerves. According to seventy, age patient demand surgery is a good option Discectomy. Nowadays Microdiscectomy done with an operating microscope. Exposure is very limited. Morbidity hospitalization is less. 