### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi my name is Pam. Im 49yrs old. Went thru menopause at 42. Ben dismissed with +2 osteoporosis, mild lumbar scoliosis, degenerative disc disease, disc desiccation, disc bulge l5 s1 of 3 to 4 ml, an annular posterior tear of l4 l5, with mild arthritis. Disc injury occurred at work. Im a glorified nursing assistant in the Cath lab where I do lots of bed pushing, patient transferring, CPR,  and wear lead while in the lab.Ive been of work for a month. No Neuro issues such as pain shooting down legs etc. Just the low back pain which can be sudden and excruciatingly painful. How do you see my prognosis for pain relief. Worsening of things. And the future of my job?I am Cheney awaiting a consult with the pain management specialist.Thank you

### output:

Hi, I had gone through your query and understand your concerns.First I suggest you to don't panic and be calm. As you being nursing staff and have to a lot of pushing work like you said it is little aggravating factor for you lumbar problem. Menopause aggregate more this. Pain can be factored which can be for long time as bones are getting weak, calcium deposition is very less and degenerative changes occurring. You should avoid heavy physical work specially fishing exercise where your spine get in position of curvature. Take calcium in means of tablets which help in calcium deposition. (60000IU need per 6 monthly). Need more the best rest for your disc bulging. Prognosis is good but not better after some treatment for degeneration. You have to be strong and generate will power which help you to fight with condition. In last ask you to visit a good neurologist for this. Hope for best life of yours ...