Hello. You have fairly significant degenerative disease of your lower spine according to this report. This is usually seen later in life than 38 so it makes me wonder if you have a history of heavy labor or high level athletics.
Either way, the approach you are taking is reasonable. In many cases, the amount of pain one has does not correlate well with the amount of degenerative changes. We have learned that in many cases as well, conservative treatment such as PT and pain meds and good back mechanics slowly lead to improvement, even without surgery.
This course can take years, of course, and can only occur if further stressors on the spine are avoided. Some individuals repsond well to epidural injections in which a powerful anti-inflamatory in injected into the "hot spots" of the lower back. If well done, this can often provide many months of excellent pain relief...though it does nothing to address the underlying disease process.
In cases where conservative treatment fails and symptoms progress, lumbar surgery (e.g. laminectomy and/or fusion) is often very helpful and the only possible "fix" longterm. A neurosurgeon can discuss this with you now so you have a better idea of what options you might realistically have down the road.
Please let me know if you have any further information or questions you would like to go over.
i dont know wethher its was clear way to sate my position and report or not
i have the original images of my MRI in efilm and pic formate
should i send you those for a clear pic and to see the severity of my problem
if you send me email address i can send you the images of MRI