Conversation: The conversation between human and AI assistant.
[|Human|] Sir I have lower back pain since past few months last three months are more severe I have MRI report which is as follows 1:- Defuse annular bulge with posterocentral/left paracentral /lateral discussion protrusion at L5-S1 level. 2:-Defuse annular bulge with posterior annular tear and posterocentral disc protrusion at L4-5 level.
[|AI|]  Hello, Thanks for your query. After going through your query I came to know that you are probably suffering from lumbar disc prolapse. It is confirmed by MRI scan. There are two treatment options. First option is rest in position of relief(generally lateral position with both knee bend), neurotopics such as mecobalamin and analgesics (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as tramadol three times a day after meals) is required. Omeprazole before meals prevent acidity caused by analgesics. This method needs patience as it take longer treatment times sometimes up to 6 months. Second option is go for surgical operation(Discectomy). Back pain can still remain in a degenerated back but burning and tingling should be much reduced. You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care.