Conversation: The conversation between human and AI assistant.
[|Human|] HELLO DOC! i HAVE BEEN SUFFERING FROM LOWER BACK PAIN PAST 10 YEARS. i have degeneration on L4 L5 S1.the pail goes in both the buttocks.I WAS TOLD I DONT NEED SURGERY AS I ALSO HAVE FIBROMYLGIA AND ALMOST 11 TRIGGER POINTS. BUT WHEN I GET SEVERE ATTACKS I CANT WEAR MY TROUSERS OR SOCKS THE WAIST DOWN AREA GETS JAMMED. I TAKE HEAT,PHSIO AND MASSAGE HELP MY MUSCLES TO RELAX. I WAS GIVEN MECOBAL AND VIT D.OTHERWISE I AM ACTIVE BUT SWIMMING ALSO CAUSES PAIN IN LOWER BACK. I HAVE HIATUS HERNIA HENCE NO STRONG PAIN KILLERS ARE GIVEN I AM OK WITH MOBIC 15MG. PL ADVISE. REGARDS ABHA
[|AI|]  Hello, I have studied your case. Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. MRI shows disc compressing on nerve root then surgical decompression is permanent solution. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care.