I'm sorry to hear about your ongoing lower back pain related to your L4 and L5 vertebrae.

Here are some steps you can consider to manage your condition:

• Medication: Non-steroidal anti-inflammatory drugs (NSAIDs) like Acefenac SP (a combination of aceclofenac, paracetamol, and serratiopeptidase) can help reduce pain and inflammation. However, these should be taken only under a doctor's prescription and guidance.

• Physical Therapy: Engaging in guided exercises and stretches designed to strengthen the muscles supporting your lower back can provide relief and improve mobility.

• Lifestyle Modifications: Maintaining a healthy weight, practicing good posture, and avoiding heavy lifting or sudden twisting movements can help reduce strain on your lower back.

• Heat or Cold Therapy: Applying heat or cold packs to the affected area may alleviate pain and reduce inflammation.

• Medical Evaluation: Since your pain is related to specific spinal segments (L4 and L5), it is important to consult an orthopedic specialist or a spine specialist. They can perform a thorough evaluation, possibly including imaging studies, to determine the exact cause and recommend appropriate treatment, which may include medications, physical therapy, or other interventions.

If your pain worsens, is accompanied by numbness, weakness, or bladder/bowel issues, seek immediate medical attention.

Please consult an orthopedic doctor for a personalized assessment and treatment plan.To narrow down potential causes, we will need some more information.I understand you're experiencing regular lower back pain due to issues with your L4 and L5. To provide the best advice, could you please tell me your age and gender?