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

### input:
I am just trying to understand where my back pain is coming from. I feel at the end of 2011 and have had progressing problems ever since.. I had a MRI done 2 yrs ago...it says at L2-3 there is a 1.8mm left lateral disc protrusion that causes mild to moderate left sided foraminal stenosis...At L3-4 there is a 1.4mm Left lateral disc protrusion. this causes mild to moderate foraminal stenosis. At L4-5 there is a 1.5mm bulging disc and facet hypertrophy. this causes mild to moderate bilateral foraminal stenosis...At L5-S1 there is a 1.5mm bulging disc and facet hypertrophy this causes canal and mild to moderate bilateral foraminal stenosis. I went to a few drs they told me nothing was wrong. I had sent my images to the lazer surgery center and they told me that I would need a fusion in this world but that drs would help me...I have been to 3 different nuerosuregons..the last one sent me for a myleogram because I have a spinal stimulator that does not work and he told me that I only have one slight bulging disc and hes not sure where my pain is coming from and to modify my stimulator. My pain management dr told me from my MRI looked like I had a few herinated discs...he then touched my SI joint and I jumped so I know that there is an issue there and he wants to do injections. So what does this MRI tell me? Do u think that the Nuerosuregon is not being completely honest because he doesn t want to do anything because I am too young? The pain is getting progressivly worse and what he is telling me that the Myleogram says does not mesh with my mri or what I feel. My symptoms are like sharp pain in my lower back. Im at an 8 pain all the time. I do get soreness down my butt.. I feel like my nerves are pinched causing leg aches. I haven t gotten any better just worse and we are going on a few yrs. I cant work cuz I can t sit up at a desk like I used to. I also have Fibromaylgia. So any info that u can give me would help. Thank u very much!

### output:

Dear Sir/ Madam, Thank you for posting your query at Chat Doctor.come advice you to start with conventional method.1. Lifestyle modification:- do not put on weight-comfortable walking shoes-proper sitting-maintain proper posture while standing, sitting(use mirror for visual feed back)- go swimming or float, the turbulence of water will keep the muscle relaxes and spasm free and strengthen the core muscle-Do not lift heavy objects- Do not forward bend-Prolong standing and sitting should be avoid, have intermittent break-yoga2. See physiotherapist anti inflammatory and muscle relaxant-help in reducing pain and strengthen the muscle still pain not coming down seek orthopedic get an opinion for injection. If no option and still pain full rule out possibilities of surgery with surgeons. Please revert if you need any further information. With best wishes,