Marrow signal is diffusely diminished on both sagittal T1 and T2.
This is complicated and you need to talk to your doctor about this


*At the L4 and L5 level the disc is dessicated and slightly narrowed. no significant compromise of the central canal or exiting nerve roots

L4 and L5 are your two bottom vertebra the disks on top of them have lost some moisture and they have lost some height however the disks are not bulging and are not compressing your nerves

the bottom disk in your spine has a small to moderate sized rupture, and is pressing on the membrane that surrounds your spinal cord, also it has displaced one of your nerves that runs down the back of your spine however the nerve root that courses out the side of your vertebra is not being compressed.


As far as treatment goes i can not advise you. You need a doctor to consider these problems carefully. I would think that acupuncture and massage should only be used to compliment conventional medicine at this stage.

How symptomatic are you? Meaning, how is the pain (quality, quantity and duration) and any other symptoms that you are experiencing affecting the quality of your life?

Roller64 provided an awesome review of your MRI findings and excellent advice regarding the use of acupuncture and massage only as complimentary treatments to a conventional conservative treatment plan.

Regardless of how “bad” or “good” things may look on and MRI or other radiological report, the myriad of treatment options available will greatly be predicted by the doctor that you chose, the symptoms and severity thereof that you are experiencing, and the impact that your symptoms is having on the quality of your life. If the acupuncture and massage are eliminating the worst of your symptoms and you are able to continue with your normal daily activities I would encourage you to continue your current course of treatment. If however your condition is getting worse or you are no longer receiving relief from your current course of treatment you might consider seeking a consultation with an ortho or neurosurgeon.

Good luck & best wishes,
Tyton

Hi again i am in agreement with Tyton, if your current treatment is working you may not need more invasive forms of treatment such as surgery.

I don't know what kind of doctor you are seeing, and when you are seeing them again, the finding of " Marrow signal is diffusely diminished on both sagittal T1 and T2." on your MRI is a non specific finding and could be many things you must talk to a doctor about this.