Conversation: The conversation between human and AI assistant.
[|Human|] 2 years ago I had surgery for a herniated disc on L4-L5 the pain in my back is gone but severe pain in my left leg never went away. I also had pain in my mid back and it is still there. Now I am having pain in low and mid back again and now I am having pain in both legs, my left is still worse. I had an MRI and CT Scan done it states L1-2 L2-3 broad -based posterior disc bulge is present withour significant central spinal cana nor foraminal stenosis, L3-4 a similar broad-based posterior disc bulge/disc marginal osteophyte complex is present which appears to cause a mild central spinal canal stenosis with midline AP diameter of thecal sac measuring approximately 9 to 10 mm. L4-5 There is good decompression of the posterior aspect of the thecal sac at this level without significant central spinal canal stenosis. Unfoofing of the posterior disc margin is present with a partially fused facets at this level. Mild right and moderate left formaminal stenosis is present. In plain english tell me what is wrong with me please.
[|AI|]  Your actual symptoms are because of the spinal stenosis which have several causes. Spinal stenosis can arise from aging, arthritis, as a complication of the surgery also. You have to try NSAID like Ibuprofen 800-1200 mg a day or Diclofenac 75-100 mg a day, muscle relaxants like Thiocholchicoside to relieve the pain. You have to exercise to strengthen your abdominal and back muscles. Bicycling can be an alleviating exercise. If you do not have any improvement you should see your neurosurgeon for epidural steroid injection or surgical intervention. Hope my answer will help.