<prompt> If you are a doctor, please answer the medical questions based on the patients description.Sir, my age is 53 YearsFemale. I am suffering from back pain since last two years. MRI scan report is as under: 1. Hypertrophied Ligamentum Flavum At Multiple Lumbar Level Compressing The Posterior Thecal Sac 2. Disc desiccation at L2-L3, L3-L4, L4-L5 L5-S1 3. Posterior annular bulge of disc at L4-L5 L5-S1 level compressing the ventral thecal sac and along with hypertrophied ligamentum flavum are narrowing bilateral neural foramina compressing the L4 L5 exiting nerve roots significantly Please suggest me appropriate medicine for proper treatment. I have been consulted doctor but did not get relief.  <response>: Hi, Welcome to Chat Doctor. After going through your query I think you may be suffering from degenerative spine with multiple level disc prolapse in lumbar spine. Many of my such patient got relief by analgesics such as diclofenac slow release tabletsif pain is more than strong analgesic such as tramadol is useful, Diapering, Glucosamine and neurotrophic agents such as mecobalamine. You can discuss with your treating Doctor. Hope I have answered your query. If you have any further questions I will be happy to help. Wishing you good health. Take care 