Dear, If you have tried all conservative treatment along with physiotherapy from last one year and you still have unbearable pain radiating to lower limb/ weakness in lower limb/ any difficulty in urination. Kindly get yourself examined and take a mutual decision with your doctor about further course of management which will most probably Surgery. Thank you

If medicine, rest, physiotherapy all have not worked, then surgery is the option.

Kindly share your symptoms in detail. Not all patients of backache need surgery. Most of them can be treated with out surgery. 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/ Gel pac . Let the part not be exposed to cold. -- .Do mild exercises for back and lower limbs. --.visit my YouTube channel 'DrN C Gupta' and watch 'Me & My Yoga' and 'Yoga Simplified'. Kindly subscribe to the channel to get continuous guidence & notifications. https://youtube.com/channel/UCPEQc6B1ywzwin048JSu6rw IT IS FREE. --or else contact a physiotherapist. -Any way it may be tried, --. Ugesic (Piroxicam) 20mg 1 tab once a day x 5days --. Caldikind plus  (Mankind) 1 tab Once  a day x 10 days. -(You may need help of your local doctor to get these medicines.) Kindly make sure, there is no allergy to any of these medicines. --For emergency treatment visit nearest hospital. --Wish you a quick recovery & good health. Thanks. Dr N C Gupta MS (ortho.) DMC no.3624

You can be untreated both by surgery and without surgery Consult me search browse on goggle practo website Dr Rajinder sharma senior Orthopaedic neurospine joint Replace surgeon ,42 years expertise chandigarh health Department Govt Multispeciality Hospital retired Chandigarh(U.T)