<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi, I have severe pain on my lower back to my hips radiating to my groin both and legs sometimes both. MRI shows mild impingement of the thecal sac to the l4l5.Really gets worse after a workput on treadmill. Sometimes I cannot even bend! And if I do some gardening the pain remains for sevearl days I recently underwent l3l4 decompression. Please help?  <response>: Hello Jay and welcome to ChatDoctorYou are suffering from PIED. Precautions are the best treatment to get rid of the disease. Else you will get worsen pain. You have to take care of your spine. The best treatment can be planned under the guidance of a spine surgeon. So that heshe can decide when to go for the surgery. The precautions you have to follow strictly are:1. Alternate hot and cold fermentation.2. Use hard bed to sleep, avoid pillow.3. Do not massage it, only apply anti-inflammatory gel gently to reduce pain. 4. Do regular physiotherapy and exercise by consulting you physiotherapist.5. Avoid all long term sitting, standing and Chat Doctor. 6. Avoid jerky movements of back.7. Wear LS belt while walking, 