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

### input:
Hi i have back pain problem for last four year, initially i felt pain only back now i have pain in neck, leg palm and left side of the shoulder. As per my doctor suggestion i took MRI study of Lumbo- sacral spine . please go through below for MRI Result and suggest me the next treatment my doctor suggest me for operation . and let me know is it curable or not. my age is 32, height 165cm and weight 65kg. Diffuse annular bulge L4-5 disc with impression on the dural sac and exiting nerve root bilaterally. diffuse annular bulge L5-S1 disc with impression on the dural sac and exiting nerve root bilaterally. Ligamentum flavum hypertrophy seen at L3-4 &L4-5 Facetalarthrophy seen at L3-4 till L5-S1 L5 vertebra shows hemangioma . the bodies,pedicles, lamine, spinous process and transverse process of the lumbar vertebrae show normal morphology and narrow signal. Cervical Spine Disc osteophytes protrusion C3-4 till C6-7 with impression on the cord seen. No significant abnormality is seen in the dorsal spine. Thanks and regards Ram

### output:

Hello, Thanks for the query I have noted your complaints and MRI data. All these MRI findings should not make you worried All these are important if there are clinical neurodeficits.  A local neurologist can determine if you have any deficits or not. If there are neurodeficits and pain dose not improve with conservative treatment you may go for surgery You need a short course of analgesics and physiotherapy Best wishes