Conversation: The conversation between human and AI assistant.
[|Human|] Hello Dr, I have Diognised with L5 S1 Mild disc bulge. I had severe pain during initial days. Its been 4 months now i have been suffering from this issue. As i had Vit D Deffeciecny my bone x ray of Lumbar Spine showed weekness of Bones. Hence i was kept on Vit D Supplement and suggested physiotherapy after one month. As the pain was increasing from lower back- Hip region and towards leg, i was unable to walk sit and sleep.so i started physio therapy within 20 days. initial one week i felt lot better. Also I was Diognised with Non Epileptic Attack Disorder- (I been suffering from past 8 years), continous Siezure episodes ,pain has increased again and since then i was not able to get releave from the pain. though i am taking Vit D supplement,calcium tablets and Vit B tablets and I do Physio Excersice as well.I have got additional problem of knee and leg pain now, followed by sound when i fold my legs hands and so shoulder movements.i am not able to walk continously and not able to leave weight on my knee.Please suggest me solution for my problem. Its very painfull days i am going through. Thanks Parvathi.
[|AI|]  Hi, I recognized from your given history that you don't take any kind of medications only supplements and physiotherapy. So I think you may need some medications for your low back pain, sciatica and knee pain. You may start with NSAIDs topical or in tab forms after hot compresses like baclofen, muscle relaxants with pregabalin are recommended, Tylenol Advil tabs are very helpful, you need your specialist to give you the required dosing according to your needs or if you need minor endoscopic surgery or something.  Hope I have answered your query. Let me know if I can assist you further.