Conversation: The conversation between human and AI assistant.
[|Human|] I Had ACDF c6-c7 in 2007. No pain for about 2 years thereafter. Eventually constant level 5-6-7 put me back on pain medication. Since then I been been on Hydrocodone in varying dosages, most recently 10/325 t.i.d. prn but recently it has been three/day. A week ago I just decided I wanted to see just how bad the pain was because the 3x really was no longer working. Surprisingly the pain in my shoulder and elbow is almost gone (maybe a constant 3, flaring to a 5) but my lower back is absolutely killing me. Is the lower back pain possibly withdrawal pain after 7 days? BTW day 2-3 off HC was no fun. Mot sure I want to do that again . . .
[|AI|]  Hello, I have studied your case. Due to compression of nerve root there can be pain.Also, there can be large disc bulge which is compressing over spinal cord. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give you relief. I will advise checking your it B12 and it D3 level. Lower back pain can be due to lumbar disc degeneration. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.