Hi, I attached here 2 MRI, X Ray reports. Please advise how could I come out from back pain without surgery. MRI - LUMBAR spine 19,10.2016: Findings: loss of normal lumbar lordosis seen? Due to muscle spasm. Lumbar vertebrae appears normal in alignment .No listhesis. Small Schmorl's nodes noted involving the endplates of multiple lumbar vertebra. Degeneration ofL1-L2, L2-L3 and L4-L5 lumbar intervertebral disc Posterior annular tear noted at L1-L2, L2-L3 and L4-LSlevels. At Ll-L2 level there is right paramidline protrusion, No foramina narrowing. At L2-L3, L3-L4 diffuse posterior disc bulge noted ,causing effacement of ventral thecal sac and inferior recess of bilateral neural foramina narrowing at L3-L4 level. At L4-L5 level, posterocentral and left forminal protrusion causing, significant canal stenosis and left neural foramina narrowing ,resulting in compression of exiting L4 and traversing LS nerve roots at this level. At LS-Sllevel, no disc bulge or herniation. Conus medullaris appear unremarkable. Impression: - Lumbar spondylosis degenerative changes as mentioned ,predominant at L4-L5 level. - At L4-LSlevel, posterocentral and left forminal protrusion causing, significant canal stenosis and left neural foramina narrowing ,resulting in compression of exiting left L4 and traversing Left LSnerve roots at this level. Approving Doctor: Somasundaram Sivaraman. MD.DNB. FRCR (UK) Patient Name: Shaheed Choudhury Referring Physician: Gender: M Age: 02.08.70 Patient 10: 1401083 Admission Type: OutPatient LUMBO SACRALAPLVIEWSof 17.10.2016: NATIONAL HOSPITAL Loss of lumbar lordosis denoting muscle spasm Mild spondylitis changes seen more at L 3 and 4, with narrowed L4-5 disc spaces Approving Doctor: Dr. Lamia Shehata Date October 09, 20'07 Patient Name S Choudhury Age 38 Yrs Sex Male File Number: 21064 Ref. Clinic: Al Hammadi Hospital/Cumberland Ref. Physician: Dr. Khalid abdomen NON ENHANCED L-SPINE MRI: CLINICAL: Low back pain and left sciatica. TECHNIQUE: The :rv1RsItudy of the lumbosacral spine was obtained by sagittal Tl and T2 weighted images and axial Tl and T2 weighted images through T121L1 to LS/S1 disc spaces. FINDINGS: The MRI study of the lumbosacral spine disclosed evidence of degeneration of lumbar intervertebral disc spaces depicted by low signal intensity on T2 and reduced height at T121L1, Ll/2, L2/3 and L4/S disc spaces. There is mild dorsolumbar kyphosis at L1I2. The spinal canal is of normal satisfactory caliber. The conus is of normal shape and normal signal. The L 112disclosed posterior right paracentral broad based disc protrusion. The L2/3 disclosed posterior left paracentral broad based disc protrusion with focal high signal intensity consistent with focal tear in the annulus fibrosus at posterior left paracentral region. The L4/5 disc space disclosed posterior central broad based disc protrusion with left predominance causing significant compression on the anterior surface of the thecal sac at this level and associated with narrowing of lateral recesses bilaterally more pronounced on the left side with compromising of the exiting left L5 nerve root. CONCLUSION: The MRl examination of the lumbosacral spine disclosed degenerative changes of lumbar intervertebral disc spaces more pronounced on T 121L1, L 112 and L4/5 with mild dorsolumbar kyphosis at L 112 and posterior right paracentral broad based disc protrusion at L 112, posterior left paracentral broad based disc protrusion at L2/3 and posterior central broad based disc protrusion at L4/5. Dictated by: Dr. Omima AI badly Reviewed by: Gulf Radiology Staff (AZ)