Conversation: The conversation between human and AI assistant.
[|Human|] sir, i am sanjay Age 27M at delhi,i have pain in spin L/S so doctor advice me that MRI test L/S spin than tested my MRI so report is Lumbar lordosis is straightened with a transitional vertebra at S1 vertebral bodies are normal in height, intensity and alignment. Early schmorl s nodes are seen at multiple levels. mild disc bulge is seen at L3/4 level indenting the thecal sac with no significant neural compression. diffuse posterior disc bulge is seen and L4/5 level indenting the thecal sac and bilateral descending L5 nerves. Mild disc bulge is seen at L5/S1 level indenting the thecal sac with no significant neural compression. Bony canal is capacious at all levels with no obviious primary canal stenosis . Distal cord, conus medullaris and filu terminale are normal in MR morphology. pre and paravertebral soft tissuse are normal.
[|AI|]  Hai Mr Sanjay, may I first know your occupation pls? You mentioned u have pain in spine, but which region?cervical/thoracic/lumbar?Don't get biased by MRI reports. How significant is your pain? Is it occurring after a days work most of the time in the evenings due to sitting long hours before the computer? Then u first need to change your work atmosphere like sitting properly with back well-supported in the chair, taking regular break of talent 5 min after an hour of work, wearing a lumbar belt when u sit or stand n remove it when u r about Togo to bed, doing regular physiotherapy for back strengthening exercises, n take analgesics if u have severe pain for 3-5 days along with be Chat Doctor. Are u getting pain during night ? Dontworry about the schools nodes n mild disc bulges on MRI which have no neural compression. U mentioned that at l4/l5 there is a disc bulge with thecal sac indentation .this should be of concern. First follow the treatment which I mentioned before for 5 days n if u don't get relief kindly consult a neurosurgeon once.