First line of treatment?

Patient

Q: My daughter is 25y/o mother of 4y/o twins very active (all 3 of them) and has low back pain has been told she has 3-5 disk that are herniated/bulging has pain at 4/10 that is normal for her patella reflex is diminished. tried therapy, otc meds,and prescription just went to see a pain specialist and he wants to do Rhizotomy. Is this the first line of treatment?

Symptoms:  Pain with activity as well as resting, numbness and tingling in legs
Doctor

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