Hello Thanks for writing to us According to MRI report you have degenerative disc disease of lumbar spine. Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis which allows herniation of disc. 1.At L5-S1 level there is moderate left posterior disc herniation.There is moderate spurring of the end plates and large facets spurs causing moderate to severe bilateral narrowing of the lateral neural foramen. 2.At L4-5 level,there is large central focal disk herniation with moderate spurring of the end plates and facet joints with severe narrowing of both neural foramen and spinal canal.It is also causing mild impingement on L5 nerve roots. 3.There is diffuse lower spinal canal stenosis due to short pedicles. 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. Treatment can be planned after consultation with neurosurgeon. Get well soon. Take Care Dr.Indu Bhushan