Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I was in a car wreck about 8 years ago, my L4 and L5 discs are gone. I live with bone to bone contact daily, latley I have such pain that I can move at all or it will aggitate the pain worse, my feet are always cold , and one of my testicales are constanltly numb, and if I am sitting typing on a computer and adjust my butt in the chair I will get an erection similar to morning erections super stiff/hard. I know that something in my spine is pinching a nerve so what should I do? help
[|AI|]  Hi, You met an RTA while you were in car 8 years back and had disc injury, and you gradually developed pain at your back and erection of your penis occasionally. It seems your disc bulge(if no operative removal done) or other spinal pathology causing compression of spinal nerve.  It can be diagnosed by proper examination and investigation including MRI n x-ray which will revel bony or soft tissue involvement, level, cause..... Now if no gross bony abnormalities present then you need to do regular physiotherapy, warm compression, avoiding serious activity / bending forward, vitamins (B 12 folate ...), analgesic (NSAID) PPI, Muscle relaxant n LS belt application.  If gross bony abnormalities present then may require operative decompression n fixation. So in my opinion visit orthopedic clinic if symptom aggravates or does not relieve even after 2 weeks of conservative management. Hope this ll heptanes n regards