Conversation: The conversation between human and AI assistant.
[|Human|] best treatment for grade 1 spondylolisthesis of l5 over s1 ,reduced disc height ,partial disc desiccation, mild diffuse disc bulge at L5-S1 level causing mild indentation over ventral thecal sac, mild encroachment of B/L neural foraminal & mild indentation over B/L exiting nerve roots. My father of age 54 is suffering from this problem I want the best treatment for him.
[|AI|]  Hi, treatment more depends upon symptoms patient have because MRI findings are more sensitive than the problem. As you mentioned that involvement is milder than first line treatment is conservative management with muscle relaxants and Gabapentin. Start physiotherapy when pain relived with medicines. If it doesn't work than second line is injection therapy and last treatment option is surgery. Thanks