Conversation: The conversation between human and AI assistant.
[|Human|] 35 yo female in good health. Been having leg pain, presumably sciatic pain, off and on for about 2 years. It has progressively gotten worse. The pain does seem to be more intense during my menstrual cycle but it s still pretty bad at other times. Definitely seems to be worse at night and after sitting. Pain is on my right side and begins deep inside my hip and right buttock and radiates down my leg sometimes into the foot. I can t exactly pinpoint where the pain is because many times it feels as if my entire leg is throbbing. Both of my knees pop as well. I did visit a chiropractor twice and while it did help for immediate pain relief, it hasn t corrected the issue and the pain comes right back after a couple of days. Does this sound more like sciatic pain or arthritis? About 5 years ago, I tested positive for ANA test twice and my OB/GYN sent me to a rheumatologist after experiencing hair loss, weight loss, and a strange rash on my backside. He couldn t find anything wrong then and all labs were normal. After many months, my symptoms finally disappeared.
[|AI|]  Dear patient Considering your symptoms you are mostly having disc prolapse with nerve root compression.  This needs to be investigated with 1. X-ray of lumbosacral spine anteroposterior and lateral views to rule out bony abnormalities 2. MRI of lumbosacral spine with screening of whole spine.  MRI gives detail information of discs and nerves so helps in confirming diagnosis and exact level of pathology which is helpful in planning treatment.  Visit radiology center nearby you and get it done. You need to consult expert spine surgeon with report.