Hello Thanks for writing to HCM According to reports you have degenerative disc prolapse of spine in lumbar region. 1.You have diffuse disc prolapse at L4-5 level with a broad base in posterocentral position and herniated disc is causing mild narrowing of central spinal canal.There is doubtful impingement of bilateral traversing L5 nerve root. Degenerative changes occurs due to aging and development of weakness in annulus fibrosis which allows herniation of disc. Treatment for pain 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. 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