Conversation: The conversation between human and AI assistant.
[|Human|] I have a l4-l5 disc herniation. The pain is progressively getting worse.  Most of the time I cant stand up straight, it feels like someone is constantly squeezing hard on my right testicle and I have a burning feeling down my right leg. I have been taking ultram with tylenol. My symptoms are not getting better. What should I do?
[|AI|]  HiT hank you for asking ChatDoctorI have gone through your query. Your pain is most likely due to nerve compression or irritation caused by Intervertebral disc herniation. Tramadol (ultra) and Tylenol is only for pain relieving but won't be effective in most patients. For my patients I recommend NSAIDs like diclofenac muscle relaxants like thiocolchicoside and neurotrophic medications and send for physiotherapy and muscle strengthening exercises. Most of them will get improvement in that. If pain is worsening then a surgical option can be considered. Hope this may help you. Let me know if you have any further query.