Conversation: The conversation between human and AI assistant.
[|Human|] I have had chronic back pain for almost two years. I was hospitalized in December 2012 because the pain was so severe that I could not walk. When it first started I thought that I had kidney problems as it was mostly on the right side I was in the hospital for five days and no one could determine what the problem was so they called in my orthopedic doctor. He prescribed a high dose of prednisone and it worked wonders...for a while. The pain however radiated down my left leg past my knee and it is so sever that I have problems sleeping at night. I am up taking ibuprofen a couple of times a night because it hurts so bad. I went to Pain Management, had an updated MRI and received two injections. They did not work. I have gone to PT twice and getting ready to go again. However, it really doesn t help much. The next step was for me to see a Neurologist. His office told me that the appointment was for the doctor to determine if I needed surgery. I knew that I wasn t going to do that so I didn t make the appointment. I also have other issues such as not having any balance. I have also fallen (and I don t know the reason) and when I fall, I don t have the strength to get back up. It is like I am dead weight and it is almost impossible for someone to try and help me. This is very scary. I just don t know what to do next. Do you have any suggestions? Thank you so-o very much.
[|AI|]  Hello... I may help u with your problems. From your symptoms, I feel u may be suffering from a spinal cord issue. The first approach here is to undergo an MRI of spinal cord, deciding whether u have a compression pathology or a non-compression pathology... Further course of management is decided based on the MRI findings. I would like to know your age, MRI findings and other tests that have been done. I advise you to avoid Ibuprofen, since long term ingestion of it might lead to kidney issues. On the contrary, medicines for neuropathic pain seem more suitable for your symptoms... I prefer combination of Gabapentin 400 mg and Nortriptyline 10 mg once at nighttime... Add on Tab Flirting 100 mg twice a day on that for added relief. But still, these might not be your final prescription. It is always advisable to visit a Neurologist in person and get a clinical examination done, to arrive to a specific diagnosis. Hope I could resolve your concern to some extent.Revert if needed for further doubts. All the best!