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

### input:
Hi, I have a low back pain for last 1 year which would exist for some time when i sit continously and the disappear which was manageble. Recently it did exist for quite long time and i felt the pain in my legs also. So i went to take MRI and this is what the report said. Can you please suggest how bad it isCirumferential disc bulgewith indentation of anterior thecal sac and minimal impingement of the L5 nerves is visualized at L4-L5 level. Dehydration of this intervertebral disc and minimal narrowing of the neural foramina is visualizedCirumferential disc bulgewith posterior bulge and minimal impingement of the S1 nerves is visualized at L5-S1 level. Dehydration of this intervertebral disc and minimal narrowing of the neural foramina is visualizedNo evidence of bone marrow edema or osteomyelitis visualized

### output:

Hello MRI findings suggests advance degenerative disc disease of L/S spine. Degenerative changes occur due to aging and weakness in annulus fibrosis.1. At L4-5 level, there is diffuse disc bulge with indentation on thecal sac and diffuse disc bulge is causing minimal impingement of the L5 nerve roots. There is also loss of water from inter vertebral disc at this level.2.AT L5-S1 level, there is also diffuse disc with posterior bulge, and it is causing minimal impingement on S1 nerve roots. There is also loss of water from inter vertebral disc at this level and minimal narrowing of lateral neural canal. Your findings suggest mild degenerative changes. Majority of the cases of degenerative spine disease are benefited by physiotherapy and analgesics. You should try physiotherapy first. Surgery should be the last option. Treatment can be planned after consultation with neurologist. Get well soon. Take Care Chat Doctor. 