<s>[INST] hi, i had a fall 2 years ago at work and after physio treatment and hydro therapy I came right (catching whooping cough as well) 4 weeks ago I twisted as I ran to help a child at work. I have had ct done today and it says that their is minor facet joint degeneration L5/S1.There is a shallow central and right paracentral disc protrusion at L4/5. ?Subtle compression of the right L5 nerve root. There may also be minor annular bulging at L5/S1. The foramina are all intact. I have problems standing for to long is this something that can be fixed and is it a result of my injuries or just age I am 45, please help [/INST] Hi, I have gone through your question and understand your concerns. These lesions found in CT are derived from both your age and repeated trauma. At this point, treatment consists on rest when symptoms are severe, warm procedures on your back, avoiding height lifting, NSAID Chat Doctor. These measures should improve your symptoms. For NSAID treatment, you should consult your primary care Doctor. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. </s>