Hello Thanks for writing to us According to history you have degenerative disc prolapse of spine. Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis which allows herniation of disc. In lumbar region 1.There is disc prolapse at L4-5 and L5-S1 level without significant central canal stenosis. 2.At L5-S1 level there is foraminal osteophyte complex impinging upon bilateral exiting L5 nerve roots.There is also right sided sacral Tarlov cyst(these are benign perineural cysts and are cerebrospinal fluid-filled sacs). Treatment for degenerative lumbar disease includes physiotherapy or surgery. Effectiveness of both modalities are same.So,physiotherpay should be tried first. It causes strengthening of Para spinal muscles and it prevents further changes. In acute cases,ideally physiotherapy should be started after pain subsides . Surgery should be the last option. There are also medicines like capsule pregabalin available for pain relief. Other pain relieving modalities are Ozone ablation,Radiofrequency ablation,percutaneous disectomy etc. Treatment can be planned after consultation with neurosurgeon. You should also modify your life style like don t abruptly bend forward and avoid standing for long time.Don t lift heavy objects. Get well soon. Take Care Dr.Indu Bhushan