Conversation: The conversation between human and AI assistant.
[|Human|] I am 50 year old, I was working in Iraq 1 1/2 yaers with the post office,every day I was lifting 70 pounds , one day my back,was hurt a lot. Now I am in the United Sates receiving treatment, but not getting better. I am having pain in my lower back, right buttock, numbmess in the right foot, pain radiate down the back of my thigh, when I am turning left and right, and straightening up was very painful. I was in therapy for about 10 months, some days was less pain than others. I went for a surgery consultation and the Dr. said no surgery is recommended, but the MRI impression are mild to moderate central stenosis and lateral recess narrowing, minimal annular bulge with facet arthropathy,L2-3, L3-4 AND L4-5. I am very fustrated because very morning when I have to come out of my bed, the pain still there, my right leg feel numbness and my lower back pain is chronic. THANK YOU FOR YOUR HELP....
[|AI|]  Hellowelcome to ChatDoctorsir, actually you are suffering from 2 different conditions, however both these conditions are connected to each other, these 2 conditions are (1) PROLAPSE INTERVERTEBRAL DISCS which is causing pain and stiffness in your lower back region(2) SCIATICA on right side i.e. compression of the sciatic nerve on the right side which is causing pain in buttocks / back of the thigh along with numbness both these conditions are chronic and quite hard to control, surgery is usually done in extreme cases when there is no other option available because spinal surgery carries the risk of some potentially unacceptable complications if I were your treating doctor, i would have advised you the following treatment and instructions- (1) if the pain is very severe take INJECTION THIOCOLCHICOSIDE INTRAMUSCULARLY two times a day for 3 days(2) TABLET IBUPROFEN three times a day after meals(3) TABLET TIZANIDINE 2 mg three times a day after meals(4) CAPSULE GABAPENTIN 300 mg 3 times a day(5) ICING in the painful region for 3 days followed by HOT FOMENTATION for 15 minutes in the region of pain 2-3 times daily for 1 week(6) use a LUMBAR BELT throughout the day specially during Chat Doctor.