Conversation: The conversation between human and AI assistant.
[|Human|] my MRI report states the following: 1. Degenarative disease in spine 2. Diffuse disc bulge at L3-L4 level causing mild effacement of thecal sac witChatDoctorpression over bilateral descending nerve roots 3. Diffuse as well as left paracentral disc bulge at L4-L5 level causing compression on bilateral exiting and descending nerve root (left right) with ligamentum flavum and facetal hypertrophy 4. 3. Diffuse disc bulge with right paracentral protrusion at L5-S1 level causing compression on bilateral exiting and right descending nerve root ( right left) with ligamentum flavum and facetal hypertrophy. Please explain the issue and provide with the possible cure
[|AI|]  Hello, Thanks for the query, I will tell you that the MRI findings need to be correlated with clinical data. Further one must note the clinical context in which the MRI was done. If you have clinical signs of nerve compression, then the options will be to go for surgical treatment. If there are no clinical signs of nerve damage, then conservative management with either Gabapentin, pregabalin and physiotherapy will suffice. Please donor worry about the MRI findings. I suggest you to get clinically evaluated by a neurologist. Best wishes