Patient presents with complaints consistent with herniated disc symptoms, including low back pain, radiating pain, sciatica, and radiculopathy.  Onset of pain was reported as [Date of Onset] and is described as [Character of pain: sharp, dull, burning, aching, etc.].  Pain is exacerbated by [Exacerbating factors: bending, lifting, sitting, standing, etc.] and alleviated by [Alleviating factors: rest, ice, heat, medication, etc.].  Patient reports pain radiating to the [Location of radiating pain: buttock, thigh, leg, foot, etc.] with associated numbness, tingling, and or muscle weakness.  Physical examination reveals [Specific findings: positive straight leg raise test, limited range of motion, muscle spasms, tenderness to palpation, etc.].  Neurological examination demonstrates [Neurological findings: diminished reflexes, sensory deficits, motor weakness, etc.].  Differential diagnosis includes lumbar strain, spinal stenosis, piriformis syndrome, and facet joint syndrome.  Impression is herniated lumbar disc at [Level of herniation: L4-L5, L5-S1, etc.] based on clinical presentation and physical examination findings.  Imaging studies, including MRI or CT scan, are recommended to confirm the diagnosis and assess the extent of disc herniation.  Treatment plan includes conservative management with pain medication, nonsteroidal anti-inflammatory drugs (NSAIDs), physical therapy, and activity modification.  Patient education provided regarding proper body mechanics, posture, and ergonomic considerations.  Referral to pain management or spine specialist will be considered if symptoms do not improve with conservative treatment. Follow-up scheduled in [Duration of follow-up: two weeks, one month, etc.] to assess response to treatment.