Hi, thanks for writing to HCM. The initial management of lumbar disc disease is always by conservative (non surgical) methods as follows - - Avoid lifting heavy weights as it imparts more strain on your back - Take rest breaks throughout the day, but avoid sitting for long periods of time. - Change your daily activities so that you avoid movements that can cause further pain, especially bending forward and lifting as it will worsen the disc protrusion. - Use a lumbosacral back support to stabilize your spinal muscles - After the initial pain has subsided, remedial exercises to strengthen the spine are very important to restore normal spinal movements and muscle strength. - Use analgesics like advil or aleve and muscle relaxants to relieve pain and muscle spasm, as needed. Vitamin B12 supplements & Pregabalin may be helpful in controlling the neuropathic pain. If your fail to improve with the above measures, an Epidural steroid injection may provide good symptom relief for a few months. There is good evidence that epidural injections can be successful in 60-70% of patients who have not been helped by 6 weeks or more of conservative management ( nonsurgical care). - Maintain optimum body weight,if you are obese Hope this information is helpful. Good day