As a Spine Specialist , I very commonly see patients who have back pain. how ever since your pain is more widely distributed and keeps changing in character, you most likely have weakness of your Spinal muscles and core muscles , maybe with associated Vitamin D deficiency. The decreased L5-S1 disc space on the X-ray is normal for your age , indicating wear and tear that happens with time. The contribution from this worn out disc to your pain might be about 30-% However if you don’t have too much pain on prolonged sitting or there is no pain radiating down your legs, then you don’t need an MRI as of now

This treatment is being suggested on bases of the information provided. However I would like to examine & investigate you in detail. -Control  Hypertension, Diabetes or  metabolic disorder, if there is any.  - Sleep on a hard bed with soft bedding. - Keep no pillow under the head. - Avoid painful acts & activities. - Fomentation with warm water. -Let the part not be exposed cold. -Do mild exercises for the affected part.- back and lower limbs  -Any way it may be tried, --. Ugesic (Piroxicam) 20mg 1tab once  a day x 5days  --. Caldikind plus  (Mankind) 1tab Once  a day x 10 days. Kindly make sure, there is no allergy to any of these medicines. --For emergency treatment visit nearest hospital. -For exercises you may visit my YouTube channel- Dr NCgupta -Wish you a quick recovery & good health  kindly like & subscribe to the channel to get notification for subsequent videos of your intrest. it is free.  Dr N C Gupta MS (ortho) DMC 3624

Rest, no exertion Avoid forward bending and lifting weights Start lower back muscle conditioning physio Warm packs, ointment If pain is severe analgesics

Please contact our clinic in Yelahanka, Bengaluru

Consult with Spine Surgeon

Not severe Rest Calcium and vitamin supplement daily Lumbosacral belt application