Conversation: The conversation between human and AI assistant.
[|Human|] H,i I had plif at l5-s1 due to disk herniiation and ddd in 2009. i now have chronic lumbar pain with sitting, standing, walking more ten five minutes,or sleeping flat. i just had a mri with contrast and it showed mild disk bulging with spinal stenosis, and spurring. Im having problems with bladder and bowels now. Oh one more thing i have server pain that comes and goes ankles/feet I get server shooting sharp pains. what must i do?? I cant stand this pain any longer...
[|AI|]  You had L5S1 fusion in 2009, and now you have severe pain in back and legs. This needs to be investigated. First we need to confirm if the L5 S1 level fused or not? Any implant related problem? It's likely to develop disc changes at the above level L4-5 and which may cause leg pain with bladder issues. Which level is the problem on fresh MRI? Also, a CT scan helps to check for the fusion. If you have bladder and bowel issues then it may indicate sever stenosis in the lumber spine. Are you on morphine or any other opiates? These may disturb bowel and bladder habits. Need to see the fresh MRI images to guide you more. Thanks.