<s>[INST] HI Doctors..Im female 26 from mumbai, India.I have done my MRI of lumbo-sacral Spine,Conclusion:1-Minimal changes of lumbar spondylosis.2-Generalized posterior annular bulge of the D12-L1 disc.3-No fracture of left tranverse process of L2.I had 10 sittings of Physiotherapy 15days ago. But there is no improvement in back pain.please suggest any home remedy, precautions and excercises. [/INST] Dear patient First I would like to know why MRI was done? Was it for back trauma or long term back pain? All MRI findings are compatible with normal life.  Try these measures on long term basis 1. Avoid heavy weight lifting 2. Avoid forward bending 3. Avoid travelling on rough roads 4. Practice ergonomics while on job and home 5.  Chat Doctor.  Take tab vitamin d3 60000 unit weekly for 4 weeks.7. Take foods rich in calcium 8. Avoid smoking and alcohol.  Exercise required 1. Back extension and back strengthening exercises 2. Abdomen strengthening exercise 3. Practice yoga if possible.  Some medication helpful are tab diclofenac plus thiocolchicoside combination twice a day. </s>