Conversation: The conversation between human and AI assistant.
[|Human|] I am a 44 year old female who has been suffering from low back pain, numbness and tingling in hands, feet and toes, along with pain running down right leg for some time now. Here is the jist of my MRI report:2 mm anterolisthesis at L4-5 with mild disc degeneration. Prevertebral spondylosis is mild to moderate at T11-12 as well as mild diffusely from L1-2 through L5-S1 including slight reactive marrow changes adjacent to the endplates anteriorly at L4-5 and L5-S1......Mild broad disc bulging L1-L2, L2-L3, L3-L4, L4-L5, L5-S1.....Any advice on what to do next?? I do have an appt. with a neurologist to address the neuropathy...
[|AI|]  Dear patient you're suffering from lumbar spondylosis with multiple level disc degeneration and added anterolisthesis of l4-5. You will require further investigations like fasting blood sugar level and post radial blood sugar level to rule out diabetes mellitus and tingling and numbness in hands and feet is sign of neuropathy mostly from D.M. considering your age. I would also advise flexion and extension views of lumbosacral spine to check for instability and vitamin b12 levels. Please let me know your profession as back pain and profession has interrelation. All these investigations would let me know exact diagnosis and guide appropriate treatment.