Hi there!
The MRI describes multiple level mild-moderate degenerative changes of the lower spine. Well, at this stage we can give an initial trial of conservative management with rest and anti-inflammatory medication followed by physiotherapy to strengthen the back muscles. However of conservative management does not seem to help over a period of 6-8 months, interventional or surgical measures may be suggested. I would suggest discussing the situation and the management plan in detail with your treating doctor.
Hope this is helpful.
Take care!
I for got to mention I am 43 & have had this problem on & off since a fall I took in 1st grade. It has progressivly gotten worde. I have tried maddage, chiroprtor, pain meds. block epidurals, traction, PT & accupuncture...