Conversation: The conversation between human and AI assistant.
[|Human|] i am 43 year old woman with severe neck pain towards lower head and shoulders to fingers.numbness and tingling in fingers, more pain in left hand. my MRI shows multilevel cervical disco vertebral degenerative changes with disc desiccation with kyphotic deformity intending the cervical cord at c4_c5, c5-c6 level with signal changes in the cord. diffuse disc bulge wiyh bilateral para central protrusions at c5-c6 causing thecal sac indentation and neural foraminal narrowing, intending the cord and existing nerve roots. centralprotrusion with annular tear at c4-c5 indenting the spinal cord. haemangioma involving the entire t12 vertebral body extendin to posterior elements.pain causes me sleeplessness
[|AI|]  Hello ! I read carefully your question and understand your concern. I am sorry about your problems. You seem to have a very problematic cervical column. In my opinion you should consult with a neurosurgeon. It is not just a matter of pain. The signal change in the cord is indicative of a cervical myelopathy, which is caused by compression from the dislocated discs and the narrow spinal canal. With the progressive narrowing of the cervical canal you will also have gait problems besides the pain and difficulty in your everyday activities. So it is important to treat the problem before aggravating. For the pain I would recommend you to hold a cervical collar and start Gabapentin or Pregabalin which are two Chat Doctor.  Hope to have been helpful! Greetings!