** 1. since your low back [L4/L5] supports most of your body weight thus is the most common area affected in LBA [low back ache] 2. since you were examined by Spine specialist thus he must have conducted all the relevant examination and investigations [either prolapsed intervertebral disc or if there is pressure on the nerves], prior to surgical or conservative [second opinion] line of treatment, thus Ayurveda approach to your disease will be guided as under: i. Avoid: urad dal, curd, fish, jaggery, milk, incompatible and heavy food, suppression of natural urges, anxiety, grief, outdoor activities when sky is covered with clouds, and cold wind. ii. Take: maize, horse gram, karela, dried ginger, garlic, ajwain,saunf, kali marich, saindhav lavan, hing, jeera, old ghee, lukewarm water, castor oil, light walking, sudation, warm clothes, garlic and ginger mixed butter milk. iii. fry 250 ml ginger juice in 250 ml of til tail, when 250 ml remains [make sure oil doesn t get burn], filter it after cooling and massage. iv. boil 1 spoon dried ginger in 4 cups of water till 1 cup remains, filter it and add 2 spoon castor oil and drink. PS. General Instructions i. Maintain straight back posture while sitting or standing. ii. avoid bending forwards and lifting weights. iii. sleep on hard mattress. iv. gentle massage v. back exercises: Leg raising in dorsal recumbent position, push ups, swimming. [once acute stage is over] Spine Management: i. Relax the spine completely. ii. Do not lie face down. iii. Lie on your back with pillow under the knee. iv. Lie on the side with a pillow between the knees. v. Distract your mind from the pain, watch television, read light humorous stories, listen to soothing music. vi. Take 4 spoons of Tulasi juice 4 spoons of ginger juice 4 spoons of honey and take for 1 month. . Boil 100 gm black pepper powder in 300 ml til tail--- filter, cool and massage OR mix dried ginger in castor oil and massage. PS. since stage is Acute, thus Active exercises are not recommended [since inflammation is there]