Conversation: The conversation between human and AI assistant.
[|Human|] Hi I am experiencing excruciating pain in my lower back daily, I have had a ct lumbar spine, It showed that the L3-4 shows flattening of the prosterior disc and L5-S1 shows posterior slight rounding of the disc. My pain is daily, it just depends on the level of pain I m in on that day, what do you recommend i do? Thankyou Jody
[|AI|]  Dear patient What is your age ? What do you do?  If you are of middle age and since ct scan is showing disc prolapse at l34 and l5s1 levels I would advise MRI of lumbosacral spine to confirm diagnosis. MRI is more sensitive and specific in diagnosis of disc prolapse and also gives information about nerve roots and compression. You need to visit radiology center nearby you and get it done. Meanwhile, start tab diclofenac plus thiocolchicoside combination twice a day for pain relief.  Avoid forward bending and weight lifting. You need to consult expert spine surgeon with MRI report. All the best.