Hello. I am a healthy 37 yr old female. I have had ongoing low back pain and have been working with PT and had an MRI a week ago. My MRI report showed a 9.3 mm disc extrusion at L5 S1 with minimal contact with the thecal sac and S1 nerve roots. L3 L4 also has extrusion and the remaining lumbar discs are protruding. And this was on a good week without the radiating sciatica. My primary doctor says these findings are normal for someone my age. Not sure I believe her. She referred me to pain mgmt and I have my 1st appt with them on Thursday. Will the pain mgmt doc do further investigation to find out what the actual problem is? I have been treated for piriformis syndrome with 6 wks of PT and that has helped some but there is still this constant pain at the left sacroiliac joint that goes deep into my buttock. My MRI report says mild spinal stenosis at L3-L4 & L4-S1 as well as degenerative disease. I have dealt with the pain intermittently for 15 years with flare-ups only a few times a year. Now it's been constant since February and the intensity varies from day to day. Looking forward to getting some clear answers.