MRI of the lumbar spine dated 09/13/2017 showed desiccation of disc at the L4-L5 level with circumferential disc bulge and mild degenerative change facets. There was a mild bilateral bony neural foraminal narrowing at the L4-L5 level with possible but not definite L4 nerve root impingement. The tip of the conus was located at L1.
A visit note dated 10/20/2017 indicated that the claimant presented with a lower back pain rated as 3/10. He was prescribed with medications and had been doing physical therapy, which helped with pain. Objective findings showed