Conversation: The conversation between human and AI assistant.
[|Human|] can you please explaing what is meany by following MRI reportMRI suggests disc at L4-L5 , L5-S1 causing thecal sac & nerve root compression & Disc bulge at L3-L4whether surgery is compulsory ?what are the precautions to be taken for avoid escalation of the above problemwhether it can be cured by physiotherapy
[|AI|]  Hi, Thanks for posting in Chat Doctor. I understand your concern. Its age related complication and also due to over weight .you didn't mention either of them, surgery is needed only when you have symptoms like paresthesia of your limbs, difficulty while you sit and stand, and if you are passing urine and stool without your consciousness. Some time if you have associated bone degeneration you will have disc problem. Precautions can be taken if over weight -- reduce your weight if you age is if your age is >45 its hormone related bone issues in female and male age related and surely it's treatable with regular physiotherapy Hope the information provided would be helpful. All the best.  Chat Doctor.