Conversation: The conversation between human and AI assistant.
[|Human|] Hi, im 54, ive had three low back surgeries with multiple hardware installed and one cervical surgery with multiple hardware, donor bone and plate installed. I have ddd, stenosis, scoliosis, arthritis and chronic nerve damage. Within the last couple years I started having uncontollable muscle twitting in my arms, leggs and stomach muscles. Within the last few months the twitting has worsened both day and nighttime, I have also developed bladder control issues, I need to go at night time every one to two hours, I have also developed an urgency to go and leakage. What do you think is going on?
[|AI|]  Hello, I have studied your case. I will advise MRI spine to see for any severe nerve compression. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. If MRI shows disc compressing on nerve root then revision surgical decompression is permanent solution. 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. Take care.