Conversation: The conversation between human and AI assistant.
[|Human|] Hello I am 40 years old. I am 5 ft 8, 150 pounds. I have a Chiari Malformation (without syrinx) and degenerative disc disease. Also herniated discs at C5/6 and Thoracic spine as well. i have been in horrible pain for 4 weeks. Had an MRI which noted small disc herniations at LS 5 and L4/5. Very bad sciatic pain as well. Given all of the other issues I have and the fact that no injury caused the recent pain to my Lumbar region, do you think surgery would help? Or is it just a bandaid on a bigger issue. I also have bursitis in my hips and shoulders along with neuropathy. My RA bloodwork was negative.
[|AI|]  Hello, I read carefully your query and understand your concern. The pain in the lumbar region can be caused by sciatica pain. The treatment consists in conservative treatment or surgery. I suggest trying with painkillers such as Ibuprofen to relieve the symptoms. I also suggest gentle stretching exercises. If the symptoms continue, I recommend consulting an orthopedist and get evaluated. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  Chat Doctor.