Conversation: The conversation between human and AI assistant.
[|Human|] I recently got diagnosed with spinal psoriatic arthritis.  Ive had symptoms for years that were misdiagnosed as osteoarthritis (which I also have in my spine - they missed the psoriatic arthritis.)  Now Im finally seeing a rheumatologist and will be starting Enbrel or Humira in about a week.  My question is:  Will a drug like that take away this daily pain that travels up and down my spine?  (I know from MRIs that I have significant spinal arthritis.)  Or is there any surgery to help me with the spinal damage once I get the psoriatic arthritis under control?  Thank you.
[|AI|]  Hello, I have studied your case. Psoriasis arthritis can be treated well with medication and surgery may not be required. If Your MRI says disc bulge with annular tears leads to compression of nerve root then surgery may be helpful If You have completed all sorts of conservative therapy, and you are not getting expected result. Then I will advise you to go for minimal invasive spine surgery and decompression of annular tear and disc bulge. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care