Conversation: The conversation between human and AI assistant.
[|Human|] sir i am a pivd patient suffring from pain and numbness on low back pain and buttock area sir my mri scan shows impression large diffuse disc bulg compounded by bilateral ligamentum flavum hypertrophy at L5S1 level causing significant acquired canal stenosis. pls give me advise that may i take a ozone therapy
[|AI|]  Hello, With the history, it appears you are having lumbar Radiculopathy due to disc bulging and spinal canal stenosis.  If you have pain for now, then rest and the medical prescription is what you need to follow. Along with this physiotherapy will help to reduce the pain with modalities like TENS therapy and Ultrasound therapy.  Post the pain symptoms comes under control than exercise is recommended to strengthen the group of muscles of the core, spine and lower limbs as this group of muscles become weak due to the pathology of the spine. Research studies show that with the help of guided exercise and awareness of how to control the symptoms by postural correction have shown positive results. I will advise you to undergo physiotherapy and get help for the symptoms. Ozone therapy might not sound effective as there is a limitation to the study. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor.