Conversation: The conversation between human and AI assistant.
[|Human|] Do i need surgery? I have been having terrible pain and cant feel my buttocks sharp pain in legs. Had MRI and central disc protrusion with superimposed annular tear at the L4-L5 level leads to mild effacement of ventral thecal sac. Mild bilateral neuroforaminal encroachment at this level. Small central disc protrusion with superimposed annular tear at the L1-L2 level.
[|AI|]  Hi, Your symptoms are suggestive of bilateral sciatica. MRI explains the cause for it. This due to disc prolapse as you have mentioned. You need evaluation by Neurologist for same. Symtoms can be received with neuralgic Chat Doctor. Avoid lifting heavyweight objects and avoid bending forward. You also require short course of painkillers, and calcium supplementation. If your symptoms are not relived by medical treatment as mentioned above (8 weeks of treatment)or you develop any weakness of limbs then surgery is indicated