Conversation: The conversation between human and AI assistant.
[|Human|] in my mri diffuse bulge with minimal compression of the thecal sac with hypertrophy of the ligamenta flava and posterior articulating facets in levels L2-3 level ,L 3-4, L 4-5 and L1-i have back surgery in 2012 and neck sugery in 2013. what can be done?
[|AI|]  Hello dearWelcome to Chat Doctor family. I have evaluated your concern in depth.@ MRI report suggests moderate level lumbar spine compromise.@ As already operated in 2012 , if symptoms are not that severe, first opt for medicines with physiotherapy component sincerely for minimum of 3 weeks period & further management guidelines according to the response of the same. Hope this will help you. Feel free to ask any further questions. Thanks for evaluation of my answer. Regards.