Conversation: The conversation between human and AI assistant.
[|Human|] Hi The last couple of months my lower back has been hurting again (had surgery 2010). Causes my hips, butt, and legs to all hurt with tingling and numbness in feet. Had MRI impression states: 1. postopertive change of fusion L5-S1. Listhesis with old spondylolysis change contributing to left forminal stenosis at this level. 2. Small disc protrusion centrally with annular tear at L4-L5 without a significant spinal stenosis present. Mild facet degenerative change. 3. L1 though L4 stable no significant developing central or neural foraminal stenosis otherwise seen. Thank you
[|AI|]  Hi, Thanks for posting your query.* The description suggests that you have lumbar disc disease with radiculopathy. The initial management for this problem is conservative by following means : - Bed rest - analgesics and occasional muscle relaxants - Methylcobalamine preparations which helps to alleviate your "pins & needles" sensations - lumbar back support while sitting for longer periods - intermittent pelvic traction If you don't get any relief within 3 weeks, you need an orthosurgeons consultation to decide upon the need for surgical intervention. Hope this will help you. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards. Chat Doctor. Orthopedic Surgeon.