X-ray revealed moderate upper lumbar scoliosis and osteophytes in lumbar vertebrae. Possible cause of severe low back and hip pain? Treatment options?

Early arthritis. Not sure why a 34yo has these problems. Your description of X-ray sounds like back spasm causing some local splinting and curvature,not classic scoliosis. Osteophytes typically seen in degenerative arthritis. Do you have autoimmune disease? Lupus? Psoriasis? Rheumatoid? .