Conversation: The conversation between human and AI assistant.
[|Human|] I have been in pain all day,Left side and now tonight left hip hurts like nerve related pain felt on rt with herination prior to surgery.In warm bath feel a lump to left of lower spine 1/2 wide, feel pressure and pain in back. Sore to touch.What could this be?Recent history dissectomy L4-L5 on rt still have nerve pain. Previous injections x 3 on rt prior to and 2 after surgery.Have been told bone on bone at l-3-4 requiring later fixation.Could this be related?
[|AI|]  Hello, I have studied your case. You may need to do repeat MRI spine with contrast again to see for nerve compression. Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it. Previous surgery may lead to early degeneration around operated vertebrae. Another possibility of spinal canal stenosis leading to pain on standing. If your MRI shows disc bulge with nerve compression then surgery may help. For these symptoms analgesic and neurotrophic like pregabalin and methylcobalamine medication can be started consulting your doctor. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and TENS therapy will help will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.