<s>[INST] Hi! My MRI report says their is a heterogeneous hyperintense T1 and T2 bone marrow signal involving the sacrum and visualized ileum. Signal intensity follows fat indicating yellow marrow fat and incidental. It is also says that I have a Focal annular left paracentral tear, but no disc herniation, spinal stenosis at L2_L3 I have Disc desicdcation with left foraminal annular tear and asymmetric buldge narrowing the left neural foramen. Mild right neural foraminal narrowing as well. Could this be the cause of my lower back pain? [/INST] Hi, Thanks for writing in, Yes, the MRI findings indicate that you are suffering from Sacroiliacs along with Canal Stenosis at L2/L3 and Neural foraminal narrowing on both right & left side. If your backache is more on morning with stiffness than Sacroiliacs is the cause. If your backache increases as you walk for a distance making you to take breaks in between then canal stenosis is the cause. If your have associated numbness/ pin-pricking sensation in your thigh or leg, it is because of the neural foraminal narrowing. Depending upon your symptoms the treatment varies. Cause for Sacroiliacs have to be investigated with few blood tests. Discuss with your doctor and start appropriate treatment. Till that time - avoid sitting for prolonged time, use hard bed/surface for lying down/sleeping, avoid lifting heavy weights by bending your back. A course of analgesics with/ without muscle relaxant can relieve your pain for the moment. Get well soon. </s>