Hi, The MRI report of your father indicates that he has several degenerative changes in his lumbar spine (lower back). These changes include mild levoscoliosis, which is a sideways curvature of the spine to the left, and grade 1 retrolisthesis of L5 over S1, which is a displacement of one vertebra over the adjacent lower vertebra. In addition, there is primary (Bonny) lumbar canal stenosis, which is a narrowing of the spinal canal in the lower back. This can cause compression of the nerves that travel through the canal and may result in symptoms like leg pain, numbness, or weakness. There are also degenerative changes with multilevel (L2-S1) prolapsed intervertebral disks, which means that the discs between the vertebrae have moved out of place and are pressing on the nerves. This is causing bilateral exiting (L less than R) and traversing nerve root impingement at L3-L4, L4-L5, and L5-S1 levels, which may result in pain, numbness, or weakness in the legs. The exact treatment for your father s condition will depend on the severity of his symptoms, the extent of the nerve compression, and his overall health. Generally, treatment options include: * Medications: Over-the-counter pain medications like acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) can help alleviate pain and inflammation. In some cases, stronger prescription medications like opioids or muscle relaxants may be prescribed. * Physical therapy: Exercises and stretches can help alleviate pain and improve flexibility, strength, and range of motion in the lower back. A physical therapist can create a customized exercise plan for your father. * Injections: Epidural steroid injections can help reduce inflammation and relieve pain by delivering medication directly to the affected area. * Surgery: In severe cases where conservative treatments have failed, surgery may be recommended to alleviate nerve compression and stabilize the spine. The type of surgery will depend on the specific condition and severity of the problem. Your father needs to discuss his treatment options with a qualified healthcare provider who can evaluate his specific condition and provide appropriate recommendations. If you require a personalized response, kindly use the Ask A Doctor service and post a follow-up. Take care. Hope I have answered your question. Regards, Dr. Priyanka, General & Family Physician