Conversation: The conversation between human and AI assistant.
[|Human|] Age 44 height 172 cms weight 67kgs. 3-4 days ago had slight pain in the back of right leg from top to bottom like something is stretched mild that i continued to work and drive my car only notiing it when i sit down and rest  - i am a computer professional with most of the time in front of a computer - a desk job. Two nights ago when i bent down to picj up a piece of paper in felt as slight pain in the lower back thought it would ease of by morning and went to sleep. Next morning the pain was so bad i could nit stand there was to much pressure on the back it seems very tight had to lie down straught for the pain to ease - took some bruefen to eaqse pain and showed it to my family physician who asked for a CT scan of the lumbo-sacral spine. - The results are as follows:l1-2,l2-3,l3-4 &l5-s1 are normal in outline. Thecal sac and nerve root canals are well preserved. The l4-5 shows a mild diffuse annular bulge indenting upon the thecal sac witChatDoctorpression of the exiting nueral foramina on both sides , more so on the left side.please guide on the problem. Is is serious ?Thanks.
[|AI|]  Hello, I have studied your case. Your CT says L 4 -5 discs bulge foraminal stenosis which leads to compression of exiting nerve root which later on supply right lower limb [leg]. Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it. Medication like methylcobalamine with muscle relaxant and analgesic 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. I will advise checking your it B12 and it D3 level. If your 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