<s>[INST] Sir, I have been operated for l4-l5, in the year 2009, and now for the past one weak I am facing problems, when ever I was sit on chair, while getting up I can t be straight it will take time. Yesterday I am not able to bend also. I have to Dr. and they have given me Injection (overan) and diclofenac tablets. [/INST] Hi, I am Dr.Bruno.  I have read your question and understand your concerns. Let me try to help you Question : What causes lower back pain while getting up and bending?Answer : The most common Causes are muscle fatigue, muscle spasms, sprain etc which are easy to treat and totally curable. Another Disc Bulge in L5S1 or L3L4 is a very rare possibility which may need surgery  Hope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.Let me know if I can assist you further.Take care. </s>