Conversation: The conversation between human and AI assistant.
[|Human|] HI i m AAAA .my age is 25 , weight is 82 kg and height is 5 10. I m suffering from back pain from last 4-5 month so i go for Mri last month as perscribed by Neuro sergon and on that report Bulge disc was reported at l4/l5 and l5 S1 and i am suffering from pain in buttock and leg .Doctor is suggesting surgery as per my condition .so please suggest whether the surgery is only solution or physiotherapy can work in my case
[|AI|]  Hi, I am sorry to hear of your pain. I know from personal experience that back disease can be debilitating. Disc bulges are NOT uncommon.  They only need to be treated if they are implicated as the cause of your symptoms. They are NOT always symptomatic. If your only symptoms are pain, and you do not have other problems like bowel or bladder issues, weakness, or progressive symptoms then it makes some sense to hold off on surgery.  However, it is hard to disagree with a neurosurgeon who has the advantage of history, physical, and MRI images and report. I feel your best option is to get a second opinion before completely writing off surgery.  In the meantime: Consider PT, anti-inflammatories, icing alternating with warm compress (see which is better), icy/hot or Ben gay, an over the counter back brace, walking. Another option may be spine injection which should be considered prior to surgery. I agree that surgery should be reserved only if the other treatments are not working. Best of luck, I hope you start feeling better.