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Health Query

My wife is 59 yr old female. She as per mri ls spine: 1) early lumbar spondylosis 2) mild posterior bulge of l4-l5 disc intdenting ventral thecal sac, mildly encroaching in to bilateral neural foramina and abtting bilateral traversing nerve roots. 3) minimal posterior bulge of l3-l4 disc without significant neuroforaminal compromise. 4) lingamentum flavum thichening and bilateral hypertrophic facetal arthopathy at all lumbar levals relatively pronounced at l4-l5.5) degenrative spinal canal stenosis with resultant intrathecal nerve roots clumping at l4-l5 leval due to bulging disc, thickend ligamentum flavum and hypertrophied facets. In lumbar spine ap/lat digital x-ray: impression early lumbar spondylosis. Both knees ap/lat conclusion: bilateral knee joint early osteoarthritis. What should be the treatment?

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