Conversation: The conversation between human and AI assistant.
[|Human|] My xray results were as follows: the bony structures of the pelvis and hips appear intact. No acute fracture, focal destruction or dislocation is seen. There is narrowing of the right and left hip joint spaces with adjacent osteophytes at the acetabulum and slight sclerosis at the acetabulum on the right and left. In addition, there appears to be degenerative disc disease at the lower 2 at (sic) 3 levels of the lumbar spine at the disc space. Impression: there is moderate DJD of the right and left hips Degenerative disc disease in the lower lumbar spine Is this normal wear and tear for a 65 year old female? Moderate to very active throughout lifetime.
[|AI|]  Hi, thank you for providing the brief history of you. As your reposts indicate that is degenerative changes in both the hip joints with reduction in the joint spaces. Also, the lumbar spine has degenerative changes in the disc which is the soft tissue structures in between the two vertebral bodies. As due to this, there will be pain in the hip joint and also the lumbar spine. Depending upon the extent of the lumbar disc degenerative changes there might be even pinching of nerve root and leading to radiating pain. Also, an MRI will be good to understand the lumbar spine disc degenerative changes. Your age is 65 and having degenerative changes are common as I notice in my clinical practice. Also, for such cases usually physical therapy in recommended for pain management and also for muscle strengthening. Majority if cases respond well to physical therapy. Also, no matter how active an individual is, aging is a process like a shadow ANE affects all the humans in early or later stages of life. RegardsJay In Chat Doctor.