Conversation: The conversation between human and AI assistant.
[|Human|] i had a lumbar diskogram my 4and 5 disk was tested and began to have a lot of pain in that area going to the right leg the disk showed signigicant loss of disk height. positive annular fissure on lateral imaging but the protusion was contained and there was no extravasation of dye in the epiduraltm space 5-s1 was tested disk revealed sleight loss in height but in the 4and 5 there was a lot of pain and they retested the l5and s1 and it began to show pain also but not as bad as 4and 5 what do you think will i have to have surgery?
[|AI|]  Hello, Your Imaging report is not too bad. It looks that you may be improved by conservative means. You should do following to have relief:1. Take rest and avoid excessive bending at your back2. Use a lumbosacral belt to avoid abnormal movements at your back3. Apply an analgesic ointment over affected area4. Take help of a physiotherapist. He may give relief by teaching some exercises and using physical modalities like ultrasonic, infra-red, TENS, etc. Hope I have answered your question. Let me know if I can assist you further.