Hello Thanks for writing to us According to report,you are suffering from degenerative disc disease of lumbar spine. Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis. 1.At L4-5 level,there is annular disc bulge with postero-central disc extrusion which is causing compression over thecal sac and it is also causing impingement over bilateral nerve roots. Majority of the cases of degenerative spine disease are benefited by physiotherapy,so physiotherapy should be tried first. Surgery should be the last option. There are also medicines like capsule pregabalin available for pain relief. Treatment can be planned after consultation with neurologist. Get well soon. Take Care Dr.Indu Bhushan