Conversation: The conversation between human and AI assistant.
[|Human|] i have been in a real bad accident a couple years ago...i fractured c1 and 2 minorly...destroyed my ribs, almost had eye surgery and i have a metal rod in my leg. i chose to stay away from opiates the whole time i was healing. i used gabapentin instead. after about 1 1/2 years i decided to add tramadol to the list cause i was in more pain. then i also started to have horribe muscle twitching in my calf and debilitating painful muscle spasms at night when i try to relax. so i had the doctor try diff muscle relaxers....i have had znaflex, flexerall, baclofen and noe methocarbamol. all of them make me feel sick and disoriented in a bad way. when the first couple failed i demanded that she prescribe me diazepam. then bam i could finally sleep...i felt way better...less pain and it did not bother me the next day. i am poor, have no real insurance and i have to pay out of pocket. Soma is the only muscle relaxer i know that ACTUALLY works for me and does not make me wanna be sick. I know its habit forming but since i now my condition is for life...i am not so concerned about addiction as long as i can live my life better without pain and with sleep. i proposed a small dose of the valium in the day and a higher one at night to sleep and she said no...she seems all against soma all together....what other options are there for me?? diazepam cost me $5 a month and all those others are $30 plus a month for prescriptions. For a person in my condition does it not make sense to give me the valium at a higher dose so i can use it in the day and at night or at least prescribe a day time does of soma to go with the valium??? those are the only options i see.....
[|AI|]  Hi, thank-you for providing the brief history of you. As you mentioned the fracture of ribs, c1&C2 region and also implant in leg, and now you are in pain. Since the incidence is 1-1/2 years old now you should focus on doing regular exercises as to get back to function. The types of exercises you can perform is -1. Breathing exercises - performing breathing exercises will help improve the capacity of lungs. It will even improve the strength of the respiratory muscles both primary and accessory. Also, this will improve the oxygen in the blood and the cellular mechanism in the body will be maintained well.2. Core stability exercises - this exercises will provide and assistance to the respiratory system and also improve the digestive system by improving the metabolism. This will also provide the stability of the spine.3. Lower limb exercises - this will be performed to help gain strength in the lower limbs. It will also improve the stability to the joints of the hip, knee l, ankle and foot. Also, by performing exercise there will be removal of metabolic waste through the excretory system.4. Neck strengthening exercises - this will help stabilize the neck muscles and the cervical spine. This has to be performed slowly as to avoid any excessive pressure on the old fractured cervical vertebrae. Now since you know what exercise you can perform, you can even take a guidance from the physical therapist as they will be able to teach the way it is to be done. Post that the exercises can be performed at home without any strain. Slow and steady wins the race. With the grace of God I wish you a good health. Regards Jay In Chat Doctor.