<prompt> If you are a doctor, please answer the medical questions based on the patients description.Dear Sir, I have back pain at end of spine and sometime leg pain also. So i done MRI in which result is indicating as below. L5S1 lumber-IV disappear hypo intense an T2W image, Suggestive of dehydration . L5S1 IV disc show posterior bulge indicating thecal sac . So, Please advise me what is the meaning of above and which kind of treatment need or operation is required or not. If any medicines then please suggest me. Very thanksful to you  <response>: Hello and welcome to ChatDoctorYou have a chance of PIED Prolapsed Inter vertebral Disc, to be confirmed by clinical examination. To get rid of this problem you can go for medication with physiotherapy. Surgery is only preformed if nerve compression is therenothing has been written in your MRI report about Nerve compression, So decision for the surgery is to be taken by your doctor with relation to clinical examination. 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. 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. Hope this will help you. Best wishes 