<s>[INST] What are the main symptoms of L5 S1 back pain. I m undergoing pain therapy that is not helping. I have great leg weakness and instability in the mornings and after sitting for long periods. I m unable to bend forward analyst shift my hip in order to bend adequately pain ranges from 3-8with medicine thanks. Pam [/INST] Hello, Thanks for your query. You seem to have a prolapsed inter vertebral disc, rightly at L5S1 region as you suggested or maybe a level higher. This disc may be compressing upon a nerve root that either exits or traverses through that level. Having known this basic anatomy, you must avoid any activity that aggravates the condition, like bending forward and lifting heavy objects, sitting long hours on computer, inappropriate sitting posture, etc. The medications will relieve pain and help muscles to relax. Physiotherapy shall also help a lot, especially exercises that strengthen your back. Kindly note that exercises only be done when it doesn't hurt. Adequate rest and proper nutrition is equally important.  Chat Doctor.  </s>