<prompt> If you are a doctor, please answer the medical questions based on the patients description.I had an ct-scan done on my back.findinds are L34: mild disc bulge wo stenosis,L45: Diffuse annular disc bulge causing mild bilateral neural foraminal stenosis.what are my best options for treatment?My p.c.p. has me trying physical therapy and tramadol 50mg 2xaday,but the pain hasnt gotten any better.thanks  <response>: Hello, Thanks for your query. After going through your query I came to know that you are probably suffering from lumbar disc prolapse. It is already confirmed by MRI scan. There are two treatment options I think method of rest analgesic is best as you have only mild stenosis. First option is rest in position of reliefgenerally lateral position with both hip and knee slightly bend, neurotics such as mecobalamin and analgesics Diclofenac three times a day after meals is effective. Sometimes strong analgesicsuch as tramadol three times a day after meals is required. Omeprazole before meals prevent acidity caused by analgesics. Second option is go for surgical operationDiscectomy. You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care. 