Conversation: The conversation between human and AI assistant.
[|Human|] I have been having back, leg, and hip pain. I have also had numbness and tingling of the saddle area and down my legs. I also have incontinence problems, both bowel and bladder. My legs tire easily too. The Dr did an MRI and this is what it says. L1-l no disc bulge seen. The spinal canal of foraminal narrowing. L2-l3 mild disc desiccation with mild disc height loss and mild diffuse disc bulge without significant spinal canal or foraminal narrowing. L3-l4 mild disc bulge and mild bilateral facet hypertrophic changes without significant spinal canal or foraminal narrowing. L4-l5 minimal disc desiccation, mild diffuse disc bulge and mild to moderate bilateral facet hypertrophic changes causing indentation of thecal sac with mild spinal canal narrowing. No significant foraminal narrowing seen. L5-s1 disc desiccation, mild disc bulge with superimposed small right paracentral disc protrusion which is contacting and mildly displacing the right descending S1 nerve root and mild to moderate bilateral facet hypertrophic changes seen. No significant spinal canal or foraminal narrowing. Partial lumbarization of s1vertebral body seen. Will you please explain what this means and what will help my symptoms improve?
[|AI|]  Hello your MRI Showing two changes. 1. disc desiccation changes 2.  Mild disc bulging. These two changes are mainly due to degeneration in the inter vertebral disc. This degeneration is having an irritation effect over the spinal nerve roots at lumbosacral area. A good physiotherapy treatment can make you come out from this condition. You can take anti-inflammatory medicines & plasmolytic medicines but they will give you only symptomatic treatment and cant make you recover from this problem.  In physiotherapy the modalities SWD & IFT at lumbosacral area and intermittent traction at lumbar area can make you out from the pain.  As the painful condition goes down you should do lumbar extension exercises name as cobra pose . If this exercise increases pain then don't do it.  After some days you should do lumbar extension strengthening exercises .  Do these exercises daily & avoid forward bending and jerky movements. You will find these exercises very helpful and all the degenerative changes and disc bulge will become better day by day.  Thank you.