Conversation: The conversation between human and AI assistant.
[|Human|] I have had chronic lower back pain for years. An X-Ray showed my sacrum is fusing together with my spine (as the Dr said). I have since noticed over the last couple of months a lump probably a couple of cms in circumference to the right side just at the side of my spine which is causing me terrible pain. Should I be worried?
[|AI|]  Hi, Thanks for writing in. It appears that you have developed complication of chronic lower back condition. You might have had advanced degenerative changes in your lower back involving the sacral segments and lumbar spine which has been there for many years. This is a possibility that this degenerative change has progressed since and has developed in to changes like a degenerative cyst in the region. As you report a lump on the right side of your spine, it will help is a detailed investigation like MRI spine is done and discussed with your doctor. The degenerative cysts can cause a lot of pressure on the nerve roots in the region leading to pain and discomfort. Treatment is guided with the intention of removing any pressure on the affected nerve roots and decompressing the nerve. Non-surgical methods of treatment can work if there is mild pressure on the nerve roots. Please do not worry.