Conversation: The conversation between human and AI assistant.
[|Human|] I have multilevel degenerative changes resulting in varying degrees of neuroforaminal and central canal narrowing most pronounced at l4-l5 and l5-s1. left paracentral disc extrusion at the l5-s1 level appears to obliterate the left lateral recess with disc material abutting the decending left s1 nerve root. also at the l5-s1 level there is a broad based diffuse disc buldge and bilateral facet and ligamentum flavum hypertrophy with superimposed left paracentral disc extrusion. I have had pain for the last year and a half,treated with medication only can this condition cause any perminate damage?
[|AI|]  Hello, You have nerve compression of S1 root and foraminal narrowing at L5 -S1 level.Also, there are degenerative changes at other levels. If proper exercise and precautions are not taken then the condition can worsen like numbness and tingling or loss of sensation blossom strength in your lower limbs which will lead to difficulty in walking and using your lower limbs in daily activitiesSome of the precautionary measures are - avoiding forward bending, lifting heavy weights, avoid jerky movements, following ergonomic principles. Some activities like walking, swimming, yoga will help in maintaining muscle strength.Also, physiotherapy treatment will help you. Hope this helps you thank you