Female 39, last six month have severe pain in right leg and radiating to hip and backside. The MRI scan results shows like
There are multiple foci of altered marrow signal which shows hypointense signal on
T1 weighted images and hyperintense signal in T2 weighted images and STIR images noted involving C7,T4,T7,T9,T10,L1,L3,L5,S1 vertebrae .There is associated pedicle involment at T4(Right),T7(Right),T10(Bilateral),L3(Right),L5(Left).There is compression collapse of T7 vertebral body.Disc desiccation involving L5/S1 disc.Posterior annular tear at L5/S1 disc.Annular disc bulge with posterior disc protnsion at L5/S1 causing bilateral minimal neural forminal narrowing and indentation over thecal sac.Conus and cauda equina are well visualised and appear normal,spinal canal dimension is within normal limite.No intradural / extradural space occupying lesion seen.No evidence of arachnoiditis seen.Para spinal soft tissue's apper normal.
please suggest what could be the nextstep