<s>[INST] HI I was suffering from low back pain since a month and now while i took the scanning of the spine i was diagnosed with Spina bifieda in the L5 of my spine (Ridge has not joined completely- birth defect).. I was always a very active person and now suffering from pain while i walk or bend. I am due to get married this december which has further increased my worry. Can you please suggest me some ways by which i can return to normal. It would be of very great help, Thank you. [/INST] HiT hank you for your question to Chat Doctor. First, you don't need to worry at all due to the spina bifida. Spina bifida occult is a type of anomaly that is asymptomatic and many people live with this through their life without symptoms (that's why occult). This spina bifida never causes back pain. This variation of spine development has been there in your back since birth and won't cause any symptoms. It is an incidental finding. A form of spina bifida which is symptomatic type presents in childhood with nerve problems and leg weakness related to those. Your back pain is very likely musculoskeletal and would respond to painkillers (ibuprofen, naproxen), local heat and painkiller ointments and physiotherapy. Avoid bending and twisting of back and lifting heavy weights for a month. Hope this is helpful. I would be happy to answer any questions you may have. </s>