Conversation: The conversation between human and AI assistant.
[|Human|] Hi. My MRI spine lumbar impression is-- posterior disc bulge at L4-L5 indenting the thecal sac anteriorly. - Broad based disc herniation at L5-S1 causing right neural foraminal and bilateral lateral recesses narrowing and indenting the right S1 root in lateral recess and compressing the left S1 root in the lateral recesses. What would be the treatment and prognosis?
[|AI|]  Hello MRI findings suggests degenerative disc disease of lumbar spine. It is due to chronic stress on annulus fibrosis. At L4-5 level, there is posterior disc bulge which is indenting the thecal sac anteriorly. At L5-S1 level, there is broad based disc herniation which is causing narrowing of bilateral lateral neural canal. Herniated disc is also compressing left S1 nerve roots. Majority of the cases of degenerative spine disease are benefited by physiotherapy and analgesics. Since you have mild findings, so you should try physiotherapy first. Surgery should be the last option. Treatment can be planned after consultation with neurologist. Get well soon. Take Care Chat Doctor.