My report, surgery or medicine suggest.

*1. Multiple Disc Issues at L4-L5 (Most Serious)* You have a significant disc herniation at L4-L5 with both central and side bulges, plus bone spurs (facet hypertrophy). This is compressing the nerves on both sides and narrowing your spinal canal moderately. This is likely the main source of your severe symptoms. *2. L3-L4 Also Involved* Just above that, at L3-L4, there's a posterior bulge that's also pressing on the nerves and narrowing the canal. So you're dealing with compression at two levels, which compounds the problem *3. Cervical Spine Involvement* The screening also picked up a disc bulge at C5-C6 in your neck that's compressing the spinal cord. This is something to keep an eye on, though it seems less severe than the lumbar issues right now.