Given the age and the changes in the spine as per report, the patient has to undergo a thorough physical and clinical examination for any neurological changes. History of the present condition, onset of symptoms, occupation of the patient, nature of activities and clinical correlation with the report must be considered and further tests like nerve conduction studies may be done. Body weight changes, lifestyle, posture, presence of primary scoliosis also contribute to physical changes like this. The changes as per reports are seen in asymptomatic persons too as revealed in research studies. So conservative management like Physiotherapy must be considered.
according to the repost Discs prsent in b/w L3,4,5 and S1 have proruted posteriorly (mainly because of 2 reasons Firstly, due Anterior Comression (caused by bending forward) and Secondly, because of hamstring tightness (muscle at back of thigh))
The report also says that the space in between the vertebrae is compromised at the L5-S1 Level, though no significant impingement has been mentioned
Also, mentions that the Curve at the Lower Back Which is normally deep has straightened. (Loss of lumbar Lordosis)
Clinically suggesting, Low back pain and inability to walk/ stand for long durations. No impingement has been mentioned therfore suggesting of normal neurological functions (such as Toilet Control, and Sensations of pain and temperature).
No need to worry much, a bit of strengthening exercises of back muscles and change in work routines would be beneficial. depending upon age and work of the individual the custom recommendations and exercises can be given. Seek consultation for better relief and good improvement.
DO NOT BEND FORWARD, and / or do OVER STRETCHINGS. Consult Neuro-Occupational Therapist / Occupational Therapist as soon as possible. NOw days can be done via distant modes (telerehabilitation). STAY HEALTHY