Conversation: The conversation between human and AI assistant.
[|Human|] How serious is this disk problem please ? L3/4 desiccation with broad based central and left inferior foraminal disk protrusion. left  foraminal and anterolateral  annular tear. facet and ligamentous hypertrophy and right facet joint effusion. relatively severe superior L4 lateral recess narrowing as L4 roots descend and subarticular  narrowing which may contact the dorsal left foraminal L3 nerve root.
[|AI|]  Your symptoms have to correlate with MRI findings.if low back pain and radiation is severe, then laminotomy, disectomy and laminectomy and fusion of L4,5 may be decided upon by a spine surgeon. I f no radiation, pain confined to low back moderately, then wearing lumbosacral support brace, Moral tab 1BD,p pregabalin 75 mg 1BD,methycobalamin 1500 I.u. tab once daily, hot fomentation, application of veteran TPS gel, physical therapy may be advised .