Conversation: The conversation between human and AI assistant.
[|Human|] Hi I am Al. I went to work 3 days after a car accident in 2008. I was assisting with an installation of a custom built in refrigerator when I notice a severe pain in my lower back. I was diagnosed with two bulging discs and now a bone spur as well. At the time of the original injury I suffered pain throughout my body. Nerves in my back, and neck felt like needles sticking when I sneezed. Upper thighs and legs were numb. My testes were very painful and lymph nodes in my hands , at my lower back, and near my groan area were swollen and paining. Pain shot from my left side of my lower back to the groan and testes. Since 2008 this subsided after about 10 months of little or no lifting. When I began to lift heavy items again the pain returned and now there are two masses in my scrotum area outside of my testes . This is one of the same areas where the pain was previously most intense. Many issues are now coming up including swelling in my left leg at the knee and a walnut size knot in the same area. What doctor should I see first and what tests should I have done?
[|AI|]  Hello, Thanks for your query. I understand you have back pain. These symptoms are part of lumbar disc degeneration with PIED where the nerves get compressed by the protruded disc. You must avoid any activity that aggravates the condition, like bending forward and lifting heavy objects, sitting long hours on computer, inappropriate sitting posture, etc. There are several treatment modalities with medicines, physiotherapy and with injections in the back called epidural injections and root/facet blocks. If you don't get better with this treatment, I suggest you undergo surgery, by which the nerves are decompressed by removing the protruded disc (discectomy), which would significantly improve your symptoms do hope that you have found something helpful, and I will be glad to answer any further query. Take care