<s>[INST] History: C/o backache with left lower limb radiculopathy. Report: Spinal contour is well maintained. Vertebrae show degenerative changes. Disc desiccations due to degenerative disc disease are noted in L4-5 and L5-S1 lumbar intervertebral disc spaces. Annular bulges are noted at L4-5 and L5-S1 disc levels causing compression of thecal sac and encroaching on bilateral neural foramina. Spinal dimensions are well maintained. Lower dorsal cord & conus medullaris show a normal alignment and appearance. No intra or extra spinal mass seen. No ligamentum flavum hypertrophy or facetal arthropathy. Pre and para vertebral soft tissues appear normal. Pre and para vertebral soft tissues appear normal. Mid disc level Measurement in cm L1-2 1.53 L2-3 1.42 L3-4 1.32 L4-5 1.10 L5-S1 0.72 Impression:  Annular bulges at L4-5 and L5-S1 disc levels causing compression of thecal sac and encroaching on bilateral neural foramina. Above is my MRI report. Please suggest the exercises and diet for this. [/INST] Take diet so that weight remains optimum. You can try back extension exercises. Always sit supported. Do not bend forward. However your problem is significant and you should consult a spine specialist. As per your reports there is L45 ,L5S1 PIVD with later causing severe compression and you may require surgery. </s>