A bulging disc can be treated with a variety of non-surgical options, some of which may be more effective for certain individuals than others. Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen tend to be the first step for a bulging disc. By releasing pressure on the nerve, a physical therapist can prescribe postures and exercises to reduce the discomfort of a bulging disc. For low back discomfort that has persisted at least a month, spinal manipulation can be fairly helpful. Cold packs can help reduce pain and inflammation at first. Because the drug is injected into the region around the spinal nerves, cortisone injections (epidural steroid injections) can give longer-term relief.