Conversation: The conversation between human and AI assistant.
[|Human|] hi, Ive been masterbating for 11 years now I am 32.  can it lead to chronic low back pain which I am having for past 3 years my m.r.I shows mild PIVD L4-L5. also can it Lead to early OA knees, as I recently developed b/l knee and shoulder pains. Will it get recovered if I stop this habit permanently ?
[|AI|]  Dear Patient, Thank you very much for your question. As you mentioned, your MRI shows mild Prolapsed intervertebral disc L4-L5 which can cause your chronic back pain. The underlying cause for this condition is not masturbation and PIED has a strong genetic component. Also, trauma, poor weight lifting techniques and occupations which needs to be extended period of time sitting than moving like Chat Doctor.  Masturbation is a harmless, innocent and physiological human sexual response which absolutely does not have any correlation to your lower back pain due to PIED.  There are certain tests like, Straight leg raise (SLR) for diagnosing herniation at L4-L5 and neurological tests for diagnosing level of reflexes, muscle and sensory weakness due to level of disc prolapse. Therefore, I recommend you to consult an Orthopedic surgeon for proper consultation and further treatments. He is the best person to help you. Also do not worry about masturbation. It is absolutely normal and disease free. If you have more questions, please let me know. Good luck!