Patient presents with complaints of low back pain, consistent with lumbar bulging disc symptoms.  Onset of pain was gradual and reported as [duration of pain].  Patient describes the pain as [character of pain; e.g., dull, aching, sharp, radiating] and localized to the [specific location; e.g., lower lumbar region, radiating to buttock or leg].  Pain is aggravated by [aggravating factors; e.g., bending, lifting, sitting for extended periods] and alleviated by [alleviating factors; e.g., rest, ice, heat].  Associated symptoms include [associated symptoms; e.g., muscle spasms, numbness, tingling, weakness in lower extremities].  Physical examination reveals [objective findings; e.g., limited lumbar range of motion, tenderness to palpation, positive straight leg raise test].  Neurological examination demonstrates [neurological findings; e.g., intact reflexes, diminished sensation, muscle weakness].  Differential diagnosis includes lumbar strain, lumbar spondylosis, herniated disc, and spinal stenosis.  Assessment:  Lumbar bulging disc at [specific disc level; e.g., L4-L5, L5-S1] is suspected.  Plan includes [treatment plan; e.g., conservative management with NSAIDs, physical therapy, activity modification; imaging studies such as MRI of the lumbar spine to confirm diagnosis; referral to specialist if indicated].  Patient education provided regarding proper body mechanics, pain management strategies, and expected prognosis.  Follow-up scheduled in [duration; e.g., two weeks] to assess response to treatment.