Conversation: The conversation between human and AI assistant.
[|Human|] Hi, my name is Irene and i am 23 years old. 5 years ago i had a car accident and had fractures in hips and sacrum , stayed in hospital for 1 1/2 month lying down. didn t need surgery. everything after that was fine i used excercise alot and never feel pain in my lower back until a year and half ago. Since then i ve been having constant pain. never gone away for a second. i ve been to so many doctors.. chiropractors, orthopedics , physicians for physiotherapy, anti inflammotary medicine. no results! i ve gone through everything.. last mri showed i have Bulging disc with annular tear at the L5/S1 level without evidence of nerve roots compression. mild multilevel bulging discs from L1/2 to L4/5 without evidence of nerve roots compression. Also there is a small subcortical bone marrow edema in the iliac bone at the level of the proximal aspect of the sacroiliac joint on both sides, corresponding to mild bilateral sacroileitis. Now the only thing they suggest is cortizone medication. the first year i was much worse now it just seems the pain will not fade away. PLEASE HELP.
[|AI|]  Hi, It seems that you are suffering from multiple level lumbosacral disc prolapse mild type without root compression. You also have sacroiliacs bilateral. Sacroiliacs causes pain in your lower back and buttocks as it connects to lower spine and pelvis. It gets aggravated on prolonged standing and climbing. Treatment depends on signs and symptoms you are having and also to evaluate for spondyloarthropathies like ankyloses spondylitis. Treatment includes pain relievers, muscle relaxants, corticisteroids, rest physical therapy, lumbosacral corset. Corticosteroids like dexamethasone or triamcinolone can be injected into joint that reduce inflammation and pain. But you can receive few joint injections a year because it weakens your joint. Other options are DM ARDS, TNF inhibitors if associated with ankyloses spondylopathies. If medical treatment fails, radiofrequency enervation, electrical stimulants or joint fusion tried. Don't worry, consult rheumatologist and neurologist for helping you