Conversation: The conversation between human and AI assistant.
[|Human|] hi i am a 58 year old male and have been suffering from pain in my upper legs thighs buttocks and upper arms since early november. the pain in my legs kicks in when i sit, the pain in my arms kicks in when i lie down. i get severe pain in my lower back and legs when i walk. my doctor has prescribed difene and solpadine but these give no relief. Its 3,20am and i cannot contimplate going back to bed as the pain in my arms will intensify, i had surgery on my lower back 6 years that was very successful where the surgeon repaired a bulge in my L5 disc leving me pain free. What do you advise ?
[|AI|]  Hello, I have studied your case. If your new MRI shows disc bulge with nerve compression then surgery may help. Due to compression of this nerve root there is pain associated with it. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and TENS therapy will help. I will advise checking your it B12 and it D3 level. If nerve compression becomes severe later on then surgical decompression will give better relief. 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