Hello Thanks for writing to us According to report you have degenerative disc disease of lumbar spine. Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis. 1.Minimal dextroscoliosis means spine is minimally deviated towards right side from mid line. 2.At L3-4 and L5-S1 level,there is minimal dorsal disc bulging with abutment of the L4 and S1 nerve roots respectively without significant nerve root displacement. 2.At L3-4 level,there is mild far right lateral disc bulge with mild encroachment on the right neural foramen particularly involving the inferior recess. Majority of the cases of degenerative spine disease are benefited by physiotherapy.So,physiotherpay should be tried first.It causes strengthening of Para spinal muscles and it prevents further changes. Surgery should be the last option. There are also medicines like capsule pregabalin available for pain relief. Treatment can be planned after consultation with neurosurgeon. Don t lift heavy objects and don t abruptly bend forward. Get well soon. Take Care Dr.Indu Bhushan