Conversation: The conversation between human and AI assistant.
[|Human|] Dear Sir,My mother who is 54 years old is complaining of severe back pain and undergone a back surgery 15 years ago. Under diagnosis. It was found as follows: post surgical changes and total fusion of L4 and L5. Diffuse disc bulges at multiple levels more prominent at L3-L4 level associated with facet joint hypertrophy and significant narrowing of the transverse diameter of the spinal canal.Kindly suggest what to do and the complete costs of treatment and the procedures for surgery.Regards,Zahraa
[|AI|]  Welcome to Chat Doctor I have gone through your query and understand your concern. I came to know that Your mother is suffering from chronic backache. It is a lumbar spondylosis. She is also having spinal stenosis due to it. Back exercises, Diapering, glucosamine sulfate neurotrophic such as methycobalamin and analgesics such as diclofenac slow release tablet can give relief. Serum vitamin D test is advised if it is lower than vitamin D supplementation will be required. If not benefited by conservative surgery then she may require operation called spinal decompression(laminectomy). Cost of surgery in India vary from 20000 to 100000 Indian rupees. You can discuss with your treating Doctor about it. Hope your query get answered. If you have any clarification then please don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care.