Hi,thanks for writing to HCM. All the findings in your description suggest a degenerated lumbar spine
. The only lesion that is a matter of concern is the Listhesis of L5 over S1. In obese patients this lesion progresses to Grade 2 & 3 very quickly and leads to significant neural elements compression. I suggest you the following measures
* Try to cut down your body weight if your are obese
* Never try to lean or bend forwards to pick up things from the floor
* use a lumbosacral corset to support your spine so as to prevent further listhesis
to strengthen the back muscles.
Despite the above measures, If your listhesis is progressing (confirmed by serial xrays) or if you develop radiating pain
down into the leg, you may need surgical intervention (posterior spinal fixation with fusion). Hope this helps