Conversation: The conversation between human and AI assistant.
[|Human|] hi in 2006 I had a MRI done and was  diagnosed withL4-L5 there was mild concentric posterior bulging disc which flattens the ventral thecal sac. Hypertrophic changes of the posterior facets and ligamentum flavum in association with a mild central spinal senosis. I have not had treatment for this situation and now years late I get bad back pain my right leg falls asleep, im unable to get comfortable sitting I use icey hot patches for my back so I can get at least some sleep and my job takes a huge tule on my back  so I dont know what to do
[|AI|]  NamastheWelcome to ChatDoctorGreetings of the firstly I would like that emphasis that MRI report is not that bad, second is you have been having chronic back pain which is likely to be due to your bad posture and work related. Treatment and management of chronic backache requires understanding of the fact that any extra weight or wrongly carried out posture will worsen it. 1. Hence, weight control is really important if you are over weight, as this will remove extra stress off your back.2.  Also using proper posture as advised by your physiotherapist is really important.  3. Para spinal muscle strengthening as advised by your physiotherapist will help. Kindly get back to me in case of further overtake Disregards