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

### input:
Dr, im a 33 year old male and ive been having pain in my left side lower back, left side of neck and i feel this nerve in my left leg kind of pulsating. I had a lifting injury at work few years back but i kind off ignored it. Ive had it checked and got lumbar and cervical xrays done. The lumbar report says there is anterolisthesis of l5 over s1 vertebrae  with spondylolysis see at the level of l5-s1. It further says IV disc space l4-l5 and l5-s1 is decreased in height. The rest of the visualised invertebral discs are normal in height. Bilateral sacroileac joints are normal.The cervical report says mild retolisthesis of c5 over c6 vetebra seen. Visualised vertebrae are normal in shape, size and outline and invertebral discs are normal in height.Could i get your opinion on this please? Do i have a herniated or prolapsed disc and would it require surgery?

### output:

Hello, Thanks for your query. After going through your query I came to know that you are suffering from anterolisthesis L5 on S1 according to your x-ray report. It means L5 vertebra is shifted forward along with whole spine when compare with S1 making spine unstable and painful. It is not a herniated or prolapsed disc. Herniated or prolapsed disc are not visible in x-ray. They are seen on MRI. There are two treatment options. First option is to use of lumbosacral support to decrease movements, neurotropics such as methocobalmines and analgesics for pain relief (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as attract three times a day after meals) is required. OMEPRAZOLE before meals prevent acidity caused by analgesics. Second option is go for surgical operation(reduction and fusion). You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care.