Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I am a 36 yr old female of 200lbs. I have diabetes and have been diagnosed with neuropathy, fibromyalgia and in my mri it say I have slight bulging of the discs l1-l5 superimposed on congenital narrowing of the bony spinal canal and also arthritis. Now I am in constant pain in the lower back and the pain radiates to my legs with numbness and tingling sensation. I also am having neck pain that radiates to shoulders and down arms to hands and they swell. I have gone to neurologist and neurosurgeon and they have told me that my pain is a mystery and that I dont need surgery. I need answers where can I go.
[|AI|]  HiT hank you for asking ChatDoctorI have gone through your query. Your constant pain in back and radiation to legs can be due to nerve compression syn Chat Doctor. And addition to that you might be having diabetic neuropathy. By decreasing your weight you can get some relief of symptoms. Sugar level should be adequately controlled. Liraglutide can be considered for losing weight and controlling sugar before insulin therapy. I also advise my patient in such case with muscle relaxants like thiocolchicoside and