Conversation: The conversation between human and AI assistant.
[|Human|] My MRI Report:1) Degenerative disc diseases at L5/S1 level.2) Central and both paracentral disc bulge at L5/S1 Level Causing thecal sac indentation, mild spinal cannal stenosis and bilateral neural foraminal narrowing.3) Screening of whole spine shows disc bulge a c3/4, c4/5 & c5/6 Levels causing thecal sac indentation & mild spinal canal stenosis.
[|AI|]  Disc bulge causing thecal sac indentation and mild spinal canal stenosis, seems to be manageable by conservative management. Conservative treatment options include-Analgesics (NSAID), Physiotherapy, Gabapentin/Pregabalin. Surgical treatment is indicated, if:1. Muscle weakness or atrophy in supplied muscles.2. Neuropathic changes in EMG in supplied muscles by affected nerve roots.3. No symptomatic improvement on conservative treatment4. Associated Vertebral instability