Conversation: The conversation between human and AI assistant.
[|Human|] I awake with both hands asleep. It started with my left arm aching and my thumb and pointing finger getting a numb sensation.  Now I awake at night and both hands are asleep (4-5 times a week).  An MRI revealed moderate right C3-4 foraminal stenosis which could compromise existing right C4 nerve root.  Severe let C4-5 foraminal stenosis which could compromise the exiting left C5 nerve root.  Multilevel degenerative disc disease, spondolylosis and facet degenerative change.  What treatment would you suggest?
[|AI|]  Hi there, welcome to Chat Doctor, thanks for your question. Your symptoms suggest compression of nerves supplying both your upper limbs. Such a compression moat commonly can happen in your neck or your arms at the carpal tunnel. The neck compression is seen in your MRI report, and it correlates with your symptoms. But the carpal tunnel symptoms need to be ruled out by your physician by clinch examination and nerve conduction tests. If carpal tunnel syn Chat Doctor. The Conservative measures to be tried before surgery is considered include: physiotherapy, exercises, medications, rest, guided injections by experts. Presence of any kind of weakness or new onset numbness would be a nice absolute indication for more urgent surgery. Considering your symptoms and radiology findings I would suggest you to follow up regularly with a spine surgeon and get appropriately treated. Hope this answers your question. All the best. Thank you. With best regards.