Conversation: The conversation between human and AI assistant.
[|Human|] I have a L4-5 circumferential disc bulge. Hyper intense T2 signal at the dorsal with annular fissure. L5-S1 minimal circumferential disc bulge with Minor facet. I have received 3 injections and still have extreme pain in lower back with pain in both legs. What can be another treatment option?
[|AI|]  Hi, welcome to our site. I am Chat Doctor, MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your Quertle other possible options that you have are as follows1. Surgical remedies2. Physiotherapy3. Pregabalin/gabapentin4. MethylcobalaminI hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck.