Conversation: The conversation between human and AI assistant.
[|Human|] Sir, I am a software engineer. I am having lower back pains intermittently (pain does not travel to leg,no numbness). But the pain in lower back is very painful whenever it happens, I had first lower back pain attack almost an year back.Since then i had 3 similar lower back pain attacks. My MRI report says - Posterior annular bulge with posterocentral protrusion and annular tear at L4-L5 -level causing mild to moderate narrowing of bilateral lateral recess. Posterior annular bulge with posterocentral protrusion and annular tear at L5-S1 level causing mild to moderate narrowing of bilateral lateral recess with associated secondary degenerative canal stenosis . I have had physiotherapy and I have been regularly doing recommended exercises from last 1 year, but still I get these lower back pain intermittently. What should I do to completely get rid of this problem?
[|AI|]  This is related to to prolong sitting job. The back pain is from the bad discs. Regular exercise and if possible swimming is helpful in relieving the back pain. You need to work on your back muscles and need to make them real strong so that they support your spine. Avoid long travels in sitting position. If possible need to make changes in job profile. If the pain persist then it comes to surgery such as either spinal fusion or disc replacement surgery. Thanks.