<s>[INST] I have been having back, leg, and hip pain. I have also had numbness and tingling of the saddle area and down my legs. I also have incontinence problems, both bowel and bladder. My legs tire easily too. The Dr did an MRI and this is what it says. L1-l no disc bulge seen. The spinal canal of foraminal narrowing. L2-l3 mild disc desiccation with mild disc height loss and mild diffuse disc bulge without significant spinal canal or foraminal narrowing. L3-l4 mild disc bulge and mild bilateral facet hypertrophic changes without significant spinal canal or foraminal narrowing. L4-l5 minimal disc desiccation, mild diffuse disc bulge and mild to moderate bilateral facet hypertrophic changes causing indentation of thecal sac with mild spinal canal narrowing. No significant foraminal narrowing seen. L5-s1 disc desiccation, mild disc bulge with superimposed small right paracentral disc protrusion which is contacting and mildly displacing the right descending S1 nerve root and mild to moderate bilateral facet hypertrophic changes seen. No significant spinal canal or foraminal narrowing. Partial lumbarization of s1vertebral body seen. Will you please explain what this means and what will help my symptoms improve? [/INST] Hello   your MRI Showing two  changes . 1. disc desiccation  changes    2.  mild disc bulging . These two changes are  mainly due to degeneration in the  inter vertebral disc .This  degeneration  is having a irritation effect over the spinal nerve roots at lumbosacral area . A good physiotherapy treatment can make you comeout from this condition . you can take  anti inflammatory   medicines & spasmolytic medicines  but  they will give you only  symptomatic treatment  and cant make  you recover from this problem.   in physiotherapy  the modalities  SWD & IFT  at lumbosacral area  and intermittent traction at lumbar area  can make you out from the pain .   as the painfull condition goes down you should  do  lumbar extension exercises  name as cobra pose  . if this exercise  increases pain then dont do it.  after  some days  you should do lumbar extension strengthening exercises  .  do these exercises daily  & avoid forward bending and jerky movements . you will find these exercises very helpful and all the degenerative changes and disc bulge will become better day by day.  Thank you . </s>