Conversation: The conversation between human and AI assistant.
[|Human|] Hi! For the last 18 months my back pain has increased, to the point of limping. Doctors did not exactly diagnose me wity eny specific thing. My MRI shows severe recess spinal stenosis at l4-5. I have been at the hospital several times with debilitating pain. Now the pain has spread all the way to my feet, the worst pain comes at eny time I try to rest, no matter day or night. The other problem I have is the way I find my self wetting my under pants or the urgency to urinate and no sure if urine is coming out till I hear it falling. Cant get up from the sofa or chair eith out help, or with out pain. The back of my neck also started to get numb and very painful, my arms also like my legs have lost almost all strainght. Please help me understand. Iam 54 female. Thank you maria
[|AI|]  Hi, Welcome to Chat Doctor. After going through your query I think your You are suffering from lumbar spondylosis with degenerative spine with spinal stenosis. Rest in position of relief, Cartilage D once daily, NUROKIND GOLD ONCE DAILY and analgesics (DICLOFENAC 100 MG SLOW RELEASE TABLETS) give relief. Sometimes vitamin D deficiency can aggravate this so serum vitamin D test is advised if it is lower than vitamin D supplementation will be required. You have already investigated by MRI and operation may be required.  I think your query answered. Welcome to any follow-up query