Hi,Dear,Thanks for your query to HCM. Dear I read facts of your query and reviewed it in context to your health issues submitted in your query. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is- Your current health issues seem to be due to -PID from vertebral disc degeneration with L4/L 5 nerve root compression. This is caused by disc herniation where the nucleus pulposus bulges after the damage to posterior nucleus fibrosus ring. You should consult Orthopedic surgeon -from Orthopedic department. Hence Other causes - need to be ruled out,by verification with Orthopedic Surgeon. Do s- Consult with Orthopedic Surgeon,who would investigate history and physically examine to fix the cause of -nerve root compression. Aspiration of the herniated disc under CT guidance / or Discectomy -endoscopic-are the gold standards for nerve decompression. This would resolve the complaints of your s. Constant follow-up with local family or specialist Orthopedic Surgeon for long term would give you long remissions of such pains in time to come,which would depend on meticulous follow-up treatment of your health concerns. Just don t worry and be patient and co-operate with your doctors,till you verify with your attending doctors. For early recovery-please follow above do s which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link- http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Wishing Good Healthy Life!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS