Hello, There are mild diffuse disc bulging at lower lumbar spinal levels of the vertebral column , which indicates various possible issues as excess weight or body mass index, some sort of arthritis or else. Current guidelines would be: - Control of body mass index and body weight - Control of blood sugar and cholesterol levels - Avoid sudden bending or weight lifting - Assisted physiotherapy and exercises involving the back - Analgesic as muscle relaxant, tizanidine or else - Local application of analgesic spray or ointment containing diclofenac with menthol or else Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon