Conversation: The conversation between human and AI assistant.
[|Human|] I am close to 74 and. Have spinal stenosis. I have had two surgeries. C3 thru C7. I tried neurotin but had bad side effects. I am on the lowest dose of hydrocondone and taking 4 a day. I use Tens are there any other meds But I have severe back pain across the upper back and down to about C7. This is severe. I wonder if there are injectios to block the pain. I go to a pain management facility but they keep telling me to take the neurotin, Tens and the hydrocondone. Thanks Jerry
[|AI|]  Hi, thank-you for providing the brief history of you. As you had a past history of Cervical disc surgery and now stenosis of the spine is making a lot of trouble in the back, I will advise to take up an MRI scan. As I feel there might be some compromise of the spinal nerves and discs. Also, for spinal stenosis, at your age undergoing conservative management Should be of choice. As you are already under medication why don't you try doing physical therapy as the combination of both has provided good results in my clinical practice. Also, nerve blocker will be of good choice to undergo but getting the muscle strength is also of due importance. Regards Jay In Chat Doctor.