Conversation: The conversation between human and AI assistant.
[|Human|] hi I am a 40 year old male I have 2 operations on my back on the L5-S1 around 2 years ago and was told I would be a good candidate for a disk replacement over the past couple of years I am unable to do the little things in life now like -brush my teeth -put a drink on a coffee table -hold a small weight out in front of me anything involved in holding my own body weight when I bend at the waist as this a big part of you body to function everyday it is a scary thing to do if is doesn t work my life function will be all but gone as I cant go on the way I am at the moment would you recommend going to see about the disk replacement look forward on your thoughts thanks steve
[|AI|]  Hello, I have studied your case. Yes disc replacement is good surgery and at age of 40 you may need revision surgery in the future. Medication like methylcobalamine with neurotrophic like pregabalin 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. Disc compressing on nerve root then surgical decompression with instrumented fusion can be solution. You can send your MRI films or report. So that I can help you better. 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.