Conversation: The conversation between human and AI assistant.
[|Human|] I am 32, 55 120 and I got an MRI for back pain. The results said I have L4-5 mild bulge and moderate annular tear. L5-S1 moderate disc extrusion, facet djd is mild bilaterally. Moderate to severe left stenosis and moderate right lateral stenosis near SI roots.  I am scheduled for epidural next week, but want to know if I can heal from this or is surgery the only option
[|AI|]  Hello, I have studied your case. Your MRI says foraminal protrusion causes foraminal stenosis which leads to compression of exiting nerve root which later on supply right lower limb [leg]. Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. As MRI shows disc compressing on nerve root then surgical decompression is permanent solution. Epidural may give long term pain relief. 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. Take care.