Conversation: The conversation between human and AI assistant.
[|Human|] per my MRI s that have been taken within the last 1 year, from my tail bone to the base of my skull there is not (ONE)vertibray that isn,t affectived by something in my back that is degenerting in my back. In the insurance I have to take through my former employer, (GENERAL MOTORS) our planted closed in 2008. It is a wish of my to not weake up in the a.m. I m 54 years old, and by somehow dieing (to Get ride of the pain I experence all day everyday and have all documentrs. I m seeing a nerosurgon, tomorrow, the second time I,ve him. I have lived a life with monderate pain, as the doctor treated me with NARRICTS plus sent me through all
[|AI|]  I read your question carefully, and I understand your concern. These widespread changes are degenerative chronic changes which have happened over many years. So reversing them is unfortunately not possible. What is aimed is pain control and physical therapy to stop progression. Pain control is achieved through over the counter anti-inflammatory Chat Doctor.  If that doesn't work then medication for chronic pain such as anticonvulsant (Gabapentin, Pregabalin) or antidepressants (Amitriptyline, Duloxetine) are used. Narcotics are used only as a very last resort. Local steroid injections or surgery may be done only when there is one particular site which is the source of the symptoms, like a bulging disc or bony spur compressing a nerve root or the cord. I hope to have been of help.