<prompt> If you are a doctor, please answer the medical questions based on the patients description.im 30 weight 117kg MRI shows at L45 disc desiccation minor diffuse disc buldge including a a small central component minimal flaval hypertrophyat L5S1 posterocentral disc bulge minor indentation of the right anterior aspect of thecal sac minimal flaval hypertrophy early facet joint OA at this level what does it mean in laymans term and what is the best treatment as i cant even function day to day activities i have 3 young kids  <response>: Hi, thanks for writing to Chat Doctor. All the MRI findings in the description suggest degenerative changes in the Lumbar spine. As your disc bulges are only mild, a course of conservative management will be helpful. The management for this condition involves avoid lifting heavy weights as it imparts more strain on your back avoid forward bending activities as it will worsen the disc protrusion Use a lumbosacral back support to augment your spinal muscles Intermittent pelvic traction to cause a regression of disc As you are Obese, try to reduce your body weight Physiotherapy to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided. Hope this information is helpful. Good day Judicious use of analgesics and muscle relaxants. 