Conversation: The conversation between human and AI assistant.
[|Human|] I have had excruciating back pain for 2-1/2 weeks. I have had sciatic surgery in 2004, epidurals series 3 times, and 2 radio frequency leisionings. Nothing for about years except vicodin (I m down to 1/2 a day until this past episode) My family Dr. only recommended a steroid shot and a cream now, no MRI or X-ray. Can t hardly get out of a chair without horrible spasms (or whatever they are). Walking, barely, with a cane . Was doing water aerobics 3X/week before this happened. Any suggestions? What kind of Dr., what is laser surgery, not that I m looking for back surgery. Any help or suggestions would be appreciated.
[|AI|]  Hello, I have studied your case. You may need to do MRI spine again with contrast to see for nerve compression If your new MRI shows disc bulge with nerve compression then re surgery may help. Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and TENS therapy will help Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.