Conversation: The conversation between human and AI assistant.
[|Human|] Hi, i had back surgery 2 years ago, discectomy on L4-5. Now i have back pain again with numnes and burning on my gluts and thights. I had an lumbar X-ray a week ago which shows moderate to severe hypertrophy on the lumbar facet joints and vacuum disk phenomenon on L4-5 disks. What causes this phenomenon and what is the treatment.I did hear about gel like substance injection to be added to the disk. How effective this treatment is?Thanks. Irina
[|AI|]  Irina, all procedure apart from discectomy for these complain does not have a very strong scientific back up.  I mean these procedures (injection, or chiropractic) may or may not work in every individual.  I think if pain is tolerable than you can take it B 12 to make your nerves strong.  Furthermore, I would also like to see MRI because X-ray diagnosis can be misleading.  Avoid heavy weight lifting and forward bending.