<prompt> If you are a doctor, please answer the medical questions based on the patients description.my mri of lumbar spine report says1.. mild otseophtes,,2. diffuse postero-central disc bulge at L34 levels,3.IV protrusion at L45 causing L5 nerve root compression,Was in hospital for 5 days n now 3 weeks bed rest  <response>: Hi Welcome to Chat Doctor Your MRI of spine shows degenerative changes and disc herniation at L34 and L45. You have 2 options. 1. Conservative management 2. Surgical management. First go for conservative management. Take Ibuprofen, or get corticosteroid injections into the backepidural injections. Do physical therapy. If all resorts fails you can go for surgery. 1 yr efficacy of surgery and conservative management is similar. Bye 