Conversation: The conversation between human and AI assistant.
[|Human|] HI I M FROM PAKISTAN. SIR MY UNCLE IS BETWEEN 40-45. HE IS SUFFERING FROM LOWER BACK PAIN . ACCORDING TO MEDICAL REPORT AT THE LEVEL OF L4-L5 THERE IS BULGING ANNUALS POSTERIORLY CAUSING INDENTATION ON THECAL SAC AND EXISTING NERVE.AFRAID FROM SURGERY HE DESIRES TO CURE THE PAIN BY SOME OTHER PROCEDURE. IS THERE ANY REMEDY EXCEPT SURGERY.
[|AI|]  Thanks for the query. L4-5 disc prolapse usually cause back pain and if there is any nerve pinching due to disc then it will cause leg pain as well. Does he have low back pain only? Any leg problems? Treatment differs in both situations. If he has significant leg pain or tingling then nerve root block (means spine injection) may help. For back pain physiotherapy and medicine should help. Need to see his imaging to tell you exact course of treatment. Thanks.