In 2016 I went to the doctor for a non-related problem and my doctor eventually asked me if I had any other issue I wanted him to look at. Yea, my low back is very strong but I it gets very tired and sore all the time, especially standing up for any period of time. So he took x-rays and showed them to me. I was shocked to see the ex-rays. The disks in both the L4 and L5 were flat and it was bone on bone. Some osteoarthritis had set in. So I took the x-rays to a spine specialist and he affirmed what my primary care told me. About 1-2 times a year I have some bad pain. But for the most part I can do what I want I just can't stand long. I was advised to keep the effectors strong to support the lumbar. Be careful loading the spine with very heavy weight. Amazingly enough I started taking gabapentin 200mg at night when I do have pain and by morning it is gone. I have done quite a bit of HGH and it did no good, cortisol injections didn't really help and BPC 157 was doing nothing. But the gabapentin did the trick. Been over 6 years since I was diagnosed and it has not gotten worse which is good.
As we age this happens to some degree mostly depending on genetics. Most people never have a lot of problem with it. My father had it as did my younger brother. My dad had surgery which did not turn out so well and my brother chose to drink and do opioids which did not turn out so well either. My surgeon did say to avoid doing any kind of surgery unless there is absolutely now other way out of the pain. Pain management clinics do treatments that can help. But again, keep the erectors strong to support the spine. Hyper-extension work really well as do RDL's and arched back good mornings all working the hip complex.
Attached is one of my x-rays
