Conversation: The conversation between human and AI assistant.
[|Human|] Hi my name is Jim I will get to it they found lesions on my brain and t 2   said I had ms2003  2 or 3 buldging disks    I have a annuler tear     I have right framinial stenosis and left.    I have right and left and centurial protrusion       DDD       nearialing of the facet joint     marginal endplate erosion. at  L5-S1 some bone spears. I had 2 of the 3  epaderial nerve block I had to stop at 2 I was getting worse I almost stopped  being able to walk April 2013 now my penis is not working right. My  doc gave me ms cotton 30 3 times a day  not helping at all not doing anything to fix problem what kind of Dr should I see my doc is pain management he is not trying or listening to me  I am NOT asking for meds I need to fix the problem my pain doc said that the lesion on my brain are undetermined he said he will do a spinal tap if I like pain (to make sure I have ms or not) my tests are from MRI done in 03- and one  in 2013 what should I do my pain levels are going up not down things getting worse
[|AI|]  Hi, Thank you for posting your query. I have noted your detailed symptoms, and it is unfortunate that you have severe pain. I agree that 2-3 small lesions on brain MRI needs further evaluation. You should consult a neurologist, with experience in treating MS, for detailed evaluation. In addition to doing lumbar puncture, and testing the CSF for oligoclonal bands, doing visual evoked potential test would also be useful. For pain relief, you could use pregabalin or gabapentin capsules. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/