Conversation: The conversation between human and AI assistant.
[|Human|] I was diagnosticated with l4 herniated disc. I have not seen my othopedic surgeon. I have a persistent pain in my lower back with pinched nerves. My legs are fine just a little weaknes. I am afraid what goona be the best treatment for me. Also i am under worjers compensation caused by a sudden fall. I feel very uncontrable because i am having pain all time. What you think about my case? What the riska about a surgery option?
[|AI|]  Dear patient We have to first look at your MRI report? So what your MRI report suggests and what are your complaints both decides line of treatment. So if MRI not done already get it done from reputed MRI center.  If MRI report is suggestive of spinal canal narrowing more than 50 % with pain and radiating pain in Lower limbs' surgery is needed to remove disc. If spinal canal narrowing is mild with clinical symptoms of radiculopathy it can be managed with short course of steroids, pregabalin and bed rest. If you are having pain all the time with significant restrictions in daily life activities surgery is better option. Nowadays endoscopic approach with minimal incision is available and is safe. Please take visit to expert spine surgeon and get yourself examined. ALL THE BEST.