Conversation: The conversation between human and AI assistant.
[|Human|] My MRI shows the source of your back pain may be: Degenerative disc disease at L4-L5 with a diffuse disc bulge and bilateral exiting nerve root impingement. The doctor has given me an appointment next week to talk further about the MRI results. I am a little worried about how this will impact my life? How can the disc bulge get treated - will it require a surgery. And what about the bilateral exiting nerve root impingement? How does that get treated?
[|AI|]  Thanks for the query. Your MRI shows age related changes in spine, and they should not be considered serious unless there is a correlation between the clinical symptoms with MRI findings. Back pain could be due to degenerated disc however it can be treated with medicine and physiotherapy. Surgery is always considered as the last option when other measures failed. The nerve impingement usually cause leg pain. Do you have any leg pain? Again it can be treated with medicine. Thus, surgery usually considered a last option in treating spine problems.