question: Hi doctor, I am suffering from acute lower back pain for the last five days. Now I am getting better with medications and bed rest. This severe and acute pain happens every six to nine months since the last four years. It knocks me out for three to four days. On a regular basis, I have lower back stiffness and dull pain, especially in the mornings. It gets better through the day. I regularly exercise, 3 km of brisk walk along with cross trainer, cycling and even skipping without much discomfort. My current medications are Ultracet and Tizan. An MRI has been done and the report of which I have attached. I request you to interpret the report and tell me the diagnosis and treatment options.