Conversation: The conversation between human and AI assistant.
[|Human|] I have denenerative disc disease ot lower two levels particularly at L4-5 where there is a grade 1 spondylolisthesis. Advanced osteoarthritis is evident on the apophyseal joints at this level with a left sided pars defect. What does this mean and how do you treat this I am in a lot of pain
[|AI|]  I read your question carefully, and I understand your concern. That reports mean that there is chronic damage to the joints and the cushioning discs which are found between your vertebrae. Some changes of this kind happen to all of us over the years, the older you are the most likely to be found. In some people these changes can be more pronounced due to genetic factors, trauma, heavy physical work etc. As for what needs to be done, for the moment only physical therapy and over the counter anti-inflammatory painkillers like Ibuprofen are recommended. Physical therapy with time will reinforce your spinal muscles, strengthening your core and better supporting the spine giving its inflammation a chance to gradually subside. If such measures are not enough at times local injections of steroids and anesthetics may also be tried as a next step. I hope to have been of help.