L5-s1 shows annular tear and a central protrusion touching both s1 roots and thecal sac. No effacement or deformity. Nerve roots exit normally.

Your question is? If the disc is worsening and causing weakness, muscular atrophy and/or numbness, and especially if initiation of urination is troublesome, need to have a spinal surgeon involved. Otherwise, conservative therapies may be successful. An EMG test may determine extent of nerve damage at this point and act as a baseline.