<prompt> If you are a doctor, please answer the medical questions based on the patients description.in my mri diffuse bulge with minimal compression of the thecal sac with hypertrophy of the ligamenta flava and posterior articulating facets in levels L2-3 level ,L 3-4, L 4-5 and L1-i have back surgery in 2012 and neck sugery in 2013. what can be done?  <response>: Hello dearWelcome to Chat Doctor family. I have evaluated your concern in depth. MRI report suggests moderate level lumbar spine compromise. As already operated in 2012 , if symptoms are not that severe, first opt for medicines with physiotherapy component sincerely for minimum of 3 weeks period further management guidelines according to the response of the same. Hope this will help you. Feel free to ask any further questions. Thanks for evaluation of my answer. Regards. 