Conversation: The conversation between human and AI assistant.
[|Human|] Hi dr i have a problem in disk, last 31/2 yrs my L4-L5 disc perlaps and i did surgery for that , last week one day i have pain in my hip and i took some pain killer and now ok i took MRI Scan they remarks marked diffuse annular disk bulging assoicated with broad base disk herniatin of L4-5, mild OA changes and muscle spasm please adivse me what can I do . please reply my mail YYYY@YYYY Thank you
[|AI|]  Hi, Good question! This is a common situation. AND it is quite complicated. There are several possible causes of pain mentioned. The pattern and movement of a pain gives clues as to what is going on. A simple examination can give a good idea whether the pain is from a disk hitting a nerve or if it is from OA changes or from spasm. They each have a different treatment. Hope I have answered your query. Let me know if I can assist you further.