### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, I am 17 yrs and I have the MRI Findings: 1. There is a loss of normal lumber lordosis . 2. Severe lest posterior paracentral disc extrusion at L4-5 Level, almost completely obliterating the lest lateral recess . The extruded portion of disc measures about 1.3 x 0.6 x 1.3cm (CC x AP x TS) in size. Left descending L5 nerve root is impinged. Left anterior thecal sac is moderately compressed with crowding of the descending sacral nerve roots. The minimal AP diameter of the central canal measures about 0.46cm. the left descending SI nerve root may be impinged. The right lateral recess and bilateral neural foramina are preserved. Disc height and signal are mildly reduced. 3. The rest of lumbar discs show normal signal intensity and disc height. No disc herniation is seen. The anterior epidural space is well preserved. The Spinal canals are adequate. Questions: 1. How severe / bad is my conditions? 2. What are the treatment options available and which one is most appropriate / effective? 3. If surgery is a must? 4. Can the conditions be cured by physio, chiro and medication? Many Thanks. Vel

### output:

Hello, Thanks for posting this question in Chat Doctor. Please find the responses point by point Questions: 1. How severe / bad is my conditions? Ans: I have noted all the findings in the MRI. Note that such MRI findings must be interpreted with caution and must be correlated with clinical findings. This MRI finding should not make you worried. 2. What are the treatment options available and which one is most appropriate / effective? Ans: Options are medical, if fails surgery. Surgery is effective. It does not mean we will advise you to go for the same based only upon the MRI data.  3. If surgery is a must? Ans: No 4. Can the conditions be cured by physio, Cairo and medication? Ans: Displease visit a local neurologist and get examined. His clinical evaluation will help in this case Hope this clarifies