<s>[INST] hi have suffered pinched nerve s1 disc bulge L4 L5 anular tear to L4 still have root nerve tension after 1 year now I am getting really bad neck and shoulder problems have recently had xray it says loss of lordosis visible could my intial lumbar injury be causing this ? [/INST] Hi, Thank you for posting your query. I have noted your complaints and the past history. I agree that the cause of loss of lordosis in the current X-rays could be due to past injury. In any case, there is no need to worry about this. The usual treatment consists of physiotherapy and medications. Common medications required are pregabalin or gabapentin capsules for nerve pain relief. Physiotherapy sessions would include neck or back extension exercises. IT/ultrasound may be helpful in relieving back and neck pain too. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/ </s>