<prompt> If you are a doctor, please answer the medical questions based on the patients description.Impression C3 and c4 vertebral congenital fusion L4 right hemivertebra Lumbarisation of s1 and s2 or two supernumery lumbar vertebraC5-c6 and c6-c7 left uncoverterbral hypertrophy and disk protrusion causing significant foraminal narrowing and indentation of the cord L5-s1 and s1-2 dick dessication bulge with facet arthrosis indenting the the cal sac with mass effect on the traversing nerve rootsRight foraminal narrowing at s2-3 indenting the right existing s2 nerve rootthis is my mri report pleas tel me the treatment for my problem without surgery  <response>: Hi, Thank you for posting your query. Initial treatment in your case is always without surgery. This includes physiotherapy such as neck and back extension exercises, IT, ultrasound, traction, etc. Medications such as pregabalin or gabapentin would also help in reducing pain. In addition, please avoid forward bending and lifting heavy weights. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly 