Conversation: The conversation between human and AI assistant.
[|Human|] Dr. Im a query for my brother...he is 30 yrs and weighs more than 80 kg and his ht is below 170 cm. He is having back pain and done MRI scan . Dr said he is having L4 and L5 disc bulge.He is taking medication now (supra 20) and doing exercise as recommended by doctor.He stoped taking mmedicine for a week , that time he felt back pain.Is there any more effective cure for this.(He is having this problem 5-6 yrs back and stopped and started now.).Kindly respond.Thank you
[|AI|]  Hi, welcome to Chat Doctor Your brother is definitely overweight, which is putting an extra pressure on his spine. First thing he has to do is weight reduction, followed by regular exercise. Then we have to see for improvement.  After above precaution if symptoms persists, then on basis of severity an operative procedure will be last choice, known as discectomy.  You must consult your orthopaedician for regular follow up.  Regards.