Patient presents with complaints consistent with lumbosacral spondylosis.  Symptoms include lower back pain, stiffness, and reduced range of motion.  The patient reports pain may radiate to the buttocks and thighs, occasionally described as a dull ache or sharp pain exacerbated by activity and relieved by rest.  Physical examination reveals tenderness to palpation in the lumbosacral region, potentially with muscle spasms and limited spinal flexion and extension.  Neurological examination is within normal limits, with no evidence of radiculopathy or myelopathy.  Radiographic imaging, including X-ray of the lumbosacral spine, demonstrates degenerative changes such as osteophyte formation, disc space narrowing, and facet joint hypertrophy, confirming the diagnosis of lumbosacral spondylosis.  Differential diagnoses considered include lumbar disc herniation, spinal stenosis, and osteoarthritis.  The patient's current pain level is managed with conservative treatment, including nonsteroidal anti-inflammatory drugs (NSAIDs), physical therapy focusing on core strengthening and flexibility exercises, and patient education on proper body mechanics.  Follow-up is scheduled to monitor symptom progression and adjust treatment as needed.  Future treatment options may include epidural steroid injections or surgical intervention if symptoms persist or worsen.  ICD-10 code M47.816, Lumbosacral spondylosis without myelopathy or radiculopathy, is documented.