<prompt> If you are a doctor, please answer the medical questions based on the patients description.My MRI Report:1 Degenerative disc diseases at L5S1 level.2 Central and both paracentral disc bulge at L5S1 Level Causing thecal sac indentation, mild spinal cannal stenosis and bilateral neural foraminal narrowing.3 Screening of whole spine shows disc bulge a c34, c45 c56 Levels causing thecal sac indentation mild spinal canal stenosis.  <response>: Disc bulge causing thecal sac indentation and mild spinal canal stenosis, seems to be manageable by conservative management. Conservative treatment options include-Analgesics NSAID, Physiotherapy, GabapentinPregabalin. Surgical treatment is indicated, if:1. Muscle weakness or atrophy in supplied muscles.2. Neuropathic changes in EMG in supplied muscles by affected nerve roots.3. No symptomatic improvement on conservative treatment4. Associated Vertebral instability 