This treatment is being suggested on bases of the information provided. However I would like to examine & investigate you in detail. -Control  Hypertension, Diabetes or  metabolic disorder, if there is any.  - Sleep on a hard bed with soft bedding. - Keep no pillow under the head. - Avoid painful acts & activities. - Fomentation with warm water. -Let the part not be exposed cold. -Do mild exercises for the affected part.- back and lower limbs  -Any way it may be tried, --. Ugesic (Piroxicam) 20mg 1tab once  a day x 5days  --. Caldikind plus  (Mankind) 1tab Once  a day x 10 days. Kindly make sure, there is no allergy to any of these medicines. --For emergency treatment visit nearest hospital. -For exercises you may visit my YouTube channel- 'Dr NCgupta' -Wish you a quick recovery & good health  kindly like & subscribe to the channel to get notification for subsequent videos of your intrest. it is free.  Dr N C Gupta MS (ortho) DMC 3624

It can be managed conservatively with medications and physiotherapy. No surgery

Yes, it can maneged conservative

at your age and based on mri report, you shud consult for a comprehencive treatment plan which would include, life style modifications, physiotherapy and nerve block injections. at this point no surgery is needed.