Assuming the report attached is yours,Osteopenia at 36 years of age isn't normal .. Needs to be investigated with few blood tests first.. Can't comment definitely on treatment line since it would be based on cause of the xray changes/back pain.. Consult an Orthpod for detailed history taking and physical examination.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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