Conversation: The conversation between human and AI assistant.
[|Human|] i have pain lowerback   on &off  ,no legpain,no tingling numbness, my mri report show diffuse posterior bulge of  L3-L4disc indenting thecal sac & encroaching the left neural foramen, diffuse posterior bulge L4-L5disc in.denting thecal sac & encroaching the left neural foramen.moderate facetal arthropathy is seen at this level.diffuse posterior bulge with annular tear of L5-S1disc indenting thecal sac.mild facetal arthropathy is seen at this level.
[|AI|]  Hello, Your back pain is due to degeneration and narrowing of the disc space of the lumbar vertebrae. Let may lead to compression of the nerve roots and even the spinal cord and cause neurological deficit which may sometimes be irreversible if not treated at the appropriate time. Physiotherapy is the mainstay of treatment. Analgesic may help in relief of the pain. Surgery is the next option to be considered. Consult an Orthopedic surgeon.