Conversation: The conversation between human and AI assistant.
[|Human|] I have lower back injuy at L3-L4 mild los of height to disc with a diffuse bulge to disc flattening the anterior thecal sac. Mild facet joint arthropathy with moderate hypothermy of ligement flavum but there is no canal or foraminal narrowing. nerves unimpinged.L!_L% ther is moderate loss of disc height and a focaldisc calcificationseen posteriorly. Moderate diffuse disc bulge flattening the anterial thecal sac. mild facet joint anthropathy no canal or foraminal narrowing. L5-S1 there is mild diffuse disc buldge flattening the anterior thecal sac and no canal or foraminal narrowing. I have been injured now 2 months i can work but with some pain and still getting spasms and have constant pressure and soreness still. What should i do now after physio and back to work duties seem not to have fixed the problem
[|AI|]  Hi, You are experiencing symptoms of radiculopathy. You need to take precautions like not lifting heavy weights, not bending forward too much or sitting for longer periods of >30 minutes continuously. You need to keep off-loading your weight for every 30 minutes by walking or standing for a period of 5 minutes. As the pain still persists, there is an option of epidural injection with a mix of steroids and anesthetics which, when given by an experienced spine specialist will go a long way in decreasing the pain. But you need to take all the precautions nevertheless. The last option would be surgery. Please discuss it with your doctor.