Conversation: The conversation between human and AI assistant.
[|Human|] This is the results from my MRI. Having a great deal of debilitating pain and discomfort. I struggling with either getting a lumbar injection or to have a discectomy ...I know you can t tell what to do, but any input would be appreciated. At L4-5, there is annular fissure . There is a diffuse disc bulge and mild facet hypertrophic changes. There is no significant canal or foraminal narrowing. At L5-S1, there is a large focal left paracentral/subarticular disc protrusion, measuring approximately 1.8 cm TV x 1.0 cm AP, causing mild deformity of the thecal sac and mass effect on the traversing left S1 nerve root. There is no significant foraminal narrowing. IMPRESSION: Large left paracentral/subarticular disc protrusion, which causes mass effect upon on the left S1traversing nerve root. Thank you!
[|AI|]  Hello, Thanks for posting this question in Chat Doctor Basically you have pain which may suggest nerve poor compression. I also don't know your age and sex. Pain related to nerve root compression may improve with medicines like Gabapentin, pregabalin, Duloxetine etc. Please try these medicines after discussing with your neurologist. You basically need a detailed clinical evaluation by a neurologist who will determine if you have any deficits or not. If there are deficits and pain are still persisting, surgical treatment will be another option. Please get examined by a local neurologist and in the meantime you can discuss with him regarding the medicines that I have suggested Hope this clarifies