Conversation: The conversation between human and AI assistant.
[|Human|] Hi my name is Greg had back surgery 2006 was good for awhile but now I am falling down all the time from nerve pain it is like being hit in the back with a axe now this is what i have bee told.. How do I fix myself disc disease at l4 - l5 and l5 - S1 with facet hypertrophy and neural foraminal narrowing impinging upon the exiting L4and L5 nerve roots bilaterally
[|AI|]  Dear patient You have got disc disease at l45 and l5s1 with L5 and l4 nerve root compression. So this MRI report is recent, or it is the report done previous to your back surgery? And which back surgery was done in 2006 and at which spinal level? If this MRI report is recent then you have got nerve compression at l45 and l5s1 disc space level. What are spinal canal diameter at both disc space levels. Considering severity of your symptoms you require urgent orthopedic surgeon visit and get yourself examined. In my opinion you may require surgery with discectomy and foramina my which can be done with endoscope and with minimal incisions.  All the best.