Consider surgery if there's significant neurological deficit involve. Take care!
Hi there!
The report suggests an intervertebral disc prolapse at L4/ L5 lever (lower back) causing pressure on the covering of the spinal cord and the nerve roots with narrowing of the spaces that carry the spinal nerves and associated degenerative changes of the intervertebral joints.
Well, since there is pressure on the exiting nerves, conservative management is unlikely to be helpful in the situation and surgical decompression would need to be considered. I would suggest discussing the situation and the suggested management plan in detail with your treating doctor.
Hope this is helpful.
Take care!