<s>[INST] I, a 26 year male, am having pain on lower back since last five years. It started when I met an accident with an autorikshaw. I had a hit on the lower back side, the same area which is paining. as per the digital x-ray-- X-ray Thoraco- Lumbar Spine AP & Lateral view: Height, form and alignment of vertebral bodies are normal. Pedicles & other vertebral appendages are normal. Disc space between L5-S1 is mild reduced. No para spinal opacity is seen. Impression: Mid reduced disc between L5-S1. sir, please provide me solution for relief of pain & obliged. [/INST] Hello, Initial treatment for this kind of problem is taking pain medications for few days and physiotherapy. After few days, pain meds should not be taken regularly because of their side effects and physiotherapy should be continued. If there is no improvement in symptoms in 2-3 weeks, you should have an MRI of L-S spine done which will give detailed diagnosis about the problem. Hope this helps, Dr. Amit Sharma </s>