Conversation: The conversation between human and AI assistant.
[|Human|] my mri of lumbar spine report says1).. mild otseophtes,,2). diffuse postero-central disc bulge at L3/4 levels,3).IV protrusion at L4/5 causing L5 nerve root compression,Was in hospital for 5 days n now 3 weeks bed rest
[|AI|]  Hi Welcome to Chat Doctor Your MRI of spine shows degenerative changes and disc herniation at L3/4 and L4/5. You have 2 options. 1.  Conservative management 2. Surgical management.  First go for conservative management. Take Ibuprofen, or get corticosteroid injections into the back(epidural injections). Do physical therapy.  If all resorts fails you can go for surgery. 1 yr efficacy of surgery and conservative management is similar.  Bye