Conversation: The conversation between human and AI assistant.
[|Human|] what is L5-S1 inter vertebral disc diffuse bulge with focal postero-central protrusion and inferior migration causing thecal sac indentation narrowing of bilateral neural foramena with impingement of both traversing and existing nerve roots and its treatment.
[|AI|]  Hello! Welcome on Chat Doctor ! These findings are indicative of a disk herniation, whicChatDoctorpression of the nerve roots in this region, causing typically back pain irradiating in the legs and difficulty walking. I would recommend having some rest, using painkillers (acetaminophen, ibuprofen) and muscle relaxants (Flexeril). It is very important avoiding prolonged sitting or standing up position. Physiotherapy may be helpful! If the pain persists, despite the above tips, I recommend discussing with a spine surgeon about surgery. Hope you will find this answer helpful! Best wishes,