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

### input:
i am having mild to moderate pain in lower bck my mri says following1. lumbosacral spondylotic changes with posterocentral disc extrusion at L5-S1level causing compression of thecal sac and bilateral foraminal compromise 2. diffuse disc bulge t L4-L5 with indentation at the thecal sac and bilateral neural foraminal compromise

### output:

Dear patient Your MRI report is suggestive of disc prolapse at two levels. Human spine contains vertebra and between two vertebrae is intervertebral disc which is named according to the location of vertebra.  So l45 disc is located between l4 and L5 vertebra and L5s1 is between L5 and s1.  These two discs are located in bottom of spine. Now prolapse means these discs has come out of its space and compressing structures in spinal canal which includes nerves and the car.  So your MRI report is suggestive of disc prolapse at l45 and l5s1 levels witChatDoctorpression of thecal matter and nerve roots.  For assessing severity of prolapse canal diameters are required which is lacking in your report. So considering your report you require conservative management.  Avoid forward bending and weight lifting.  Sleep on hard bed. Take tab diclofenac plus thiocolchicoside combination twice a day and tab attract one at bedtime. Start physiotherapy with 1. Back strengthening exercises 2 back extension exercise and 3. Abdominal strengthening exercise.  Do this on regular basis, and you will get long term relief.  If you don't benefit by this then epidural escort injection is worthwhile. Hope this is helpful.