<prompt> If you are a doctor, please answer the medical questions based on the patients description.My name is AAA and I am 23 years old. The study of MRI shows posterocentral disc extrusion at L4-L5 level indenting the thecal sac .This MRI was taken in september 2012. Then I had only back apin. Now I got pain till my toe only on my left side.Its tough for me to sit,walk,sleep and even sneeze or laugh. What is the problem?  <response>: Hello, Thanks for writing to us. To get rid of this problem you can go for medication with physiotherapy and some precautions. Precautions to be followed are: 1. Avoid jerky movements of spine. 2. Wear LS belt while traveling or Chat Doctor. 3. Take complete bed rest in worse conditions. 4. Do regular spine exercise as advised by your physiotherapy. 5. Use hard bed to sleep. 6. Take some analgesic and apply Diego gel locally in pain. 7. Dont lift weight. I hope this is helpful to you. Consult me again directly through my profile. Wishing you good health... Regards. 