Conversation: The conversation between human and AI assistant.
[|Human|] Hi, My mothers aged around 56 is suffering from pain in lower back bone and pain in the upper side backbone (near sholders) the MRI report shows the following. Mild diffuse disc bulge at l4-l5 with indentation over thecal sac and causing mild narrowing of bilateral lateral recess/foramen. What is the best treatment she should under go?
[|AI|]  Hello, Initial treatment for this kind of problem is taking pain medications for few days and physiotherapy. After few days, pain meds should not be taken regularly because of their side effects and physiotherapy should be continued. A lateral recess stenosis will cause compression on nerves and will in turn lead to leg pain, numbness and in extreme cases weakness. Not sure if your mother has any leg symptoms also or not? This treatment should cause significant improvement in symptoms. In case of no relief, further treatment is recommended which usually consists of spinal injections or surgery. Hope this helps,