Conversation: The conversation between human and AI assistant.
[|Human|] Hi there, I wanted to know if I could get some information about my back issue . I am a 49 year old woman in fairly good health. I am 5 9 tall and weigh 195 lbs. In the past year I have changed my lifestyle and have lost over 50 lbs. In the fall of 1994 my L4-5 disc bulged/hernitated and it also affected my right side sciatic nerve. After a hospital stay and 6 months of physio my back was not getting any better. I eventually had to have surgery. I had a discetomy and the L4-4 level and a limited laminectomy posteriorly at this operative site as well. My back seemed better for a few years then started to act up again. In 2002 I had an MRI done and the diagnosis stated theat there was a generalized bulging of the reamaining intervertebral disc at the L4-5 level without evidence of focality. Also, it stated that at the L4-5 level the posterior facet joints demonstrate very early mild symmetric degenerative change. Again, I took things easy, had physio and things seemed to be ok. Fast forward to 2011 and again I am in pain and limited mobility. My days are the worse in the mornings and in the evenings. I purchased a great bed 6 months ago because of my back problems. I have low back pressure and pain, as well as pain in my right buttock with pain radiating down my right leg. It is hard to perform any tasks below my waist ie tying up my shoe laces, picking up dropped items, washing in feet etc. Could yoy tell me a what my prognosis may be and what I may be looking forward to. Thank you.
[|AI|]  Hello, There can be pain due to nerve root compression. I will advise you fresh MRI. If symptoms persist then surgical decompression may help. Medication like methylcobalamine and pregabalin will reduce pain which can be started consulting your doctor. You can focus on spine extension exercises. Some exercises which can be done include-Spine extension exercises, Lying on your stomach flat lift leg 6 inches from ground, do it for other leg. Now lift both hand and leg simultaneously, 6 inches off the ground and supposition for around 10 breathes. Core stabilizing spine exercises will help. You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case. If not relieved you can take epidural injection. Hope this helps. Wish you a speedy recovery.  If you find this answer helpful do not hesitate to rate this answer at end of discussion. Take care.