Conversation: The conversation between human and AI assistant.
[|Human|] sir, I am unable to stand for more than 20minutes or so.  Getting continous tingling sensation at the centre of the lower back.  Also tingling and/or burning sensation of both feet and sometimes even on the palms.  Not a diabetic.  For BP on Losakind 25mg daily one.  Two weeks back tested and found B12 as 437pg/ml seems ok but Vit-D3 15.25ng/ml only and Taking TAYO-60K weekly once for 10weeks.Todays MRI reveals that:Spinal cord ends at D12-L1.  Degenerative changes of disc at L4-5.  Diffuse bulge at L4-5 with partial loss of intra foraminal perineural fat plance mainly on left side.  Kindly advise for the treatment including physio if any elaborately.  Thanks in advance for help.
[|AI|]  Hi friend, Welcome to Chat Doctor Lumbar disc degeneration / compression of nerve root can explain the back and feet symptoms. It can account for tingling in the palms... See a Neurologist / Nerve conduction may have to be tested.  Physiotherapy and analgesics can help for the time being.  If the pain is sever and not improving, surgery may be required... Take tarnishing speedy recovery God bless Good luck