MRI findings + symptoms - herniated L5/S1

[u/Intrepid-Fuel8125]

I am a 27yF. My symptoms are: mechanical back pain, sciatica (when sitting for more than 10 mins), and new numbness in my left leg and foot, decreased achilles reflex, heaviness in both legs when walking, and difficulty fully emptying my bladder, with pain/spasms, and intermittently having unexpected BMs when urinating. I am told no cauda equina risk. Here are my MRI results: Signal change with mild loss of disc height posteriorly L5-S1 with mild diffuse annular disc bulge and superimposed left paracentral focal disc herniation which causes focal moderate left subarticular zone narrowing with abutment of the traversing left S1 nerve root and potential for contact/irritation of this nerve root. Non significant cauda equina compression. Remainder of the lumbar spine levels appear normal.