Conversation: The conversation between human and AI assistant.
[|Human|] Hello. I have many problems with my lower back, herniated discs, degeneration, fibromyalgia etc. Had a new mri and not sure what it all means. *Sterile reactive bony end-plate changes*Neutral foraman and lateral recesses with abutment of the descending s 1 nerve roots bilaterally. *concentric protrusion with annular rentNo idea what all this means
[|AI|]  Thanks for writing to us. Degenerative changes mean age related wear and tear in the spine. End plate changes means bodies response to the wear and tear by forming new bone such as osteophytes and sclerotic end plates. Also, the spine ligaments gets hypertrophied which further compromise the space for the nerves. Concentric protrusion is type of disc prolapse and annular tear means tear in the outer covering of the disc and this is always painful. With this finding, we treat patient with medicine and physiotherapy. Thanks.