Conversation: The conversation between human and AI assistant.
[|Human|] Dear Sir, my MRI says I have posterior disc bulge at L2-L3,L3-L4,and L4-L5 and L5-S1 causing thecal sac indentation. Mild extradural cut off at these levels, Bilateral neural foramina narrowing at L3-L4 level causinfg impingement on exiting nerve roots, mild disc dessication at few lumbar levels, Bilateral lateral recess stenosis with neural foramina narrowing at L4-L5 level and compressing the descending and exiting nerve roots, Mild narrowing at bilateral neural foramina at L2-L3 and L5-S1 levels. Dear Doctor Please help. I m a medical rep I need to drive bike atleast 60 km s a day.
[|AI|]  Hi, Thanks for your query. It seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation spinal canal stenosis. The main treatment of such pain is bed rest along with painkillers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic. You can get the appropriate Chat Doctor. Meanwhile, you can follow these measures:- If the pain is severe, you need bed rest till the pain resolves. - Get some analgesics prescribed and apply analgesic spray or ointments.- While resting, keep a pillow under your knees if it doesn't bother you.- Avoid lifting heavy objects.- Back strengthening exercises and stretching exercises daily as advised by a Physiotherapist.- Avoid exercises in times of pain. - Improvise your posture while sitting.- Using an LS contour belt of appropriate size might be helpful in providing support to back muscles. Also, maintain a proper posture while working, sitting and standing. Keep your back straight. Physiotherapy plays a major role in treating such conditions. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care