Conversation: The conversation between human and AI assistant.
[|Human|] I fell and bruised my back very badly. I have had l1, l2, and l3 replaced previously so I consistently have back pain. Since the fall 4 days ago, I am having slight incontinence and severe pain upon rising from a sitting position. should I be concerned?
[|AI|]  Hello, I have studied your case. If your MRI says herniating disc then this can lead to compression of exiting nerve root which later on supply lower limb [leg]. Due to compression of this nerve root there is incontinence in your leg and pain associated with it. Neurotropic medication like methylcobalamin and pregabalin 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. Spine extension exercises will help you. I will advise checking your it B12 and it D3 level. If 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.