Hi I'm Angie, 40 yr old female with low back pain due to a roller skating accident 3 yrs ago. I had a fracture to my right ankle which resulted in 9 screws and a plate. I never did anything about my back because I could only focus on my ankle pain since it was the worst thing that ever happen to me in my life. So I always felt the pain in my back and just chalked it up as getting old or I was looking for a reason to be lazy. Now my back is really hurting me must times without relief. I did an xray which shows "Increased sclerosis is seen in the posterior elements from L4 -S1. Mild degenerative endplate changes are present diffusely. Mild straightening of the normal lordosis on the lateral film. Increased sclerosis in the SI joints bilaterally." What does this mean? What are my options??