Hello Thanks for writing to us According to history you have degenerative disc disease of lumbar spine with post operative changes. Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis which allows herniation of disc. 1.At L4-5 level there is disc osteophyte complex with post operative changes in laminar region of spine. There is mild to moderate facet arthropathy.It is causing mild to moderate narrowing of neural foramen on the right side whereas left foramen is patent. Treatment for degenerative lumbar disease 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. Steroids are also used for foramen block,but it is not the definite treatment. Treatment can be planned after consultation with neurosurgeon. You should also modify your posture while sitting. Get well soon. Take Care Dr.Indu Bhushan