<s>[INST] Got MRI report of my mother who is 64 years old and the impression given is as follow. MRI Study shows degenerative spine changes with: Transitional verterbra at the lumbosacral junction(complete sacralisation of L5 Vertebra as counted from C1 level downwards) Diffuse bulge of the L3-L4 intervertebral disc with associated bilateral facetal degeneration and ligamentum flavum thickening causing secondary canal stenosis with thecal sac compression and bilateral foraminal narrowing Diffuse bulge of the L4-L5 intervertebral disc causing bilateral foraminal narrowing(R L) with thecal sac indentation. I want to know the treatment option for this condition [/INST] Hello and thanks for the query The best treatment as per MRI report is surgery but nothing can be said without the clinical examination of the patient. The decision can be only made by both clinical examination and MRI report. If the pain in legs are worse and numbness or weakness present than you can go for surgery. Else medicinal treatment with physiotherapy and life style changes can help you in getting painless spine. The best treatment can be planned under the guidance of spine surgeon. So feel free to consult your spine surgeon and planned your mother's treatment. Best wishes </s>