Conversation: The conversation between human and AI assistant.
[|Human|] Good Afternoon Dr. Kumar. Long story short ha. I have spinal surgery 9 years ago. Ruptured disc, splattered into my nerves, 4 hour operation. Surgeon said didn t realize how bad until he opened me up. He said he spent two hours picking fragments out of my nerves. He gave me an 80% total use of my left leg. Pain he cured, until about two years ago. More numbness, more pain, less movement. Pain in hip to toes. Also have shoulder problem . Popping noise, pain when reaching and side to side motion. Im 46 year old female. Always have pain somewhere either leg, shoulder or neck . Being treated now by doctor. Just had xrays. Waiting for my emg appointment. I haven t been able to work since 2004 because I can not stand, sit for long periods of time, I am up and down all day trying to get into a position that is comfortable. Thank you
[|AI|]  Hi, Thank you for posting your query. I am glad that your surgeon did a fantastic job and your pain reduced after the surgery. The current pain suggests that your nerves in the lower back (lumbar region) are still compressed, and needs to be investigated. An MRI of the lumbar spine would help us clarify the diagnosis. As of now, you would benefit from medications such as pregabalin or gabapentin capsules. In addition, physiotherapy including IT/ultrasound, and back extension exercises would also be helpful. Please keep me informed about your progress. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/