Conversation: The conversation between human and AI assistant.
[|Human|] I injured my back at work a year ago lifting something heavy. Workmans comp pushed me thru and did not want to take an MRI just xrays. So, for the last year I have been living with pain. Not able to work full time any longer. I had an MRI done last week - these are the results. L2-3 diffuse concentric disc bulge with broad based disc bulging into neural foramina regions bilaterally. Mild left and mod. right neural foramental stenosis. Min. central stenosis. L3-4 broad based disc bulging into the neural foramina bilaterly, super imposed on diffuse concentric disc bulge. Mod right ant mild left neural foraminal stenosis. Min central stenosis. L4-5 Mild diffuse concentric disc bulge. No central stenosis or neural foraminal stenosis, mild degenerative changes about facet joints. L5/S1 small posterior disc protrusion superimposed on diffuse concentric disc bulge. Mild bilateral neural foraminas stenosis. No central stenosis. Multi level degenerative disc disease. I have weakness in right hip and leg, toes are numb and in constent pain. Please help
[|AI|]  Dear patient You have got multiple level disc prolapse which is most significant at l34 and l45 levels. Since your symptoms are for Around one year and not relieved with medication I would recommend epidural escort injection at both symptomatic disc levels. Epidural escort injection helps in relieving chemical neuritis due to disc prolapse and has anti-inflammatory and swelling reducing effects. Since disc is at multiple levels surgery is not a preferred option. You should consult expert spine specialist and ask for epidural injection. It's an old procedure and safe without any significant side effects.