Conversation: The conversation between human and AI assistant.
[|Human|] I have a L3-4 herniation with the vertebrae rubbing bone to bone. I also have some degenerative changes  in L4-5. I suffer from some severe sciatic pain with pain running down my right buttock and thigh, anterolaterally extending down to my right foot. I have had multiple episodes of losing the feeling in my leg completely resulting in a couple severe falls. Does this situation usually end with a discectomy or fusion? I have had this for 14 years now but much significantly worse after I was rear ended with the driver going 50 and I was stopped when he hit me. Previous to that incident a couple of years ago I had two slip and fall accidents, damaging my c spine to the point that they did a fusion, which took very well.
[|AI|]  Hello, I have studied your case. Medication like methylcobalamine with neurotrophic like pregabalin will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. MRI shows disc compressing on nerve root then surgical decompression is permanent solution. You can send your MRI films or report. So that I can help you better. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care.