Conversation: The conversation between human and AI assistant.
[|Human|] i am suffering from back pain which has also iniated leg pain. i have done a mri of the LS region. my report states that at the l5-s1 level the canal apd is 8.4mm and there is a disc desiccation and prolapse causing bilateral traversing nerve root impingement at l5-s1 level
[|AI|]  Hi there, welcome to Chat Doctor, thanks for your question. The initial treatment for back and leg pain attributable to disc degeneration would include: physiotherapy (modality based like Short wave diathermy, ultrasonic massage etc.), exercises (core spinal exercises, Pilates), medications(analgesics, antiinflammatory, Topical gel or spray like applications)Wearing a lumbosacral corset or belt if you travel long distances or sit for long for initial 1 week or so) and injections into the spine(can be tried over 6 weeks - however duration and amount of relief unpredictable). Surgery would be absolute indication if any weakness in the legs, difficulty in passing urine or motion (attributable to spite problem). Unrelenting pain after 2 to 3 months of conservative treatment would be a relative indication. Hope this answers your question. All the best. Thank you. With best regards.  Chat Doctor.