Conversation: The conversation between human and AI assistant.
[|Human|] Hello,I am a 50 year old male with low back pain and occasional radicular symptoms on L4 dermatome down to my right knee. I was x-rayed today which revealed grade 1 L4 anterolisthesis, and there was no indication of fractures. My pain currently is 1/10 and centralized to my right low back. I am not sure what caused the condition, but I did have a bad wreck mountain biking about 2 weeks ago(no LBP at that time), and I moved some furniture last weekend(again no p! at that time). My pain started last Monday and was intermittent all week. I had pain with standing and sitting decreased or abolished my pain. My question is what is the best treatment for this condition, and will I be able to go back to an active lifestyle( trail running, mountain and road biking, resistance training). Thank you, Tom
[|AI|]  Hi, Welcome to Chat Doctor. After going through your query I came to know that you have grade1 L4 anterolisthesis. Your pain currently is 1/10 and centralized to my right low back. It can manage by using lumbosacral belt, reducing activity and analgesics such as diclofenac. But You want to know the best treatment for this condition, and go back to an active lifestyle(trail running, mountain and road biking, resistance training). Then in my opinion its best treatment is in situ fusion (AN OPERATION)Hope I have answered your query. If you have any further questions I will be happy to help. Wish you good health.