Conversation: The conversation between human and AI assistant.
[|Human|] I was rear ened by a buick lesabre while I was at a stoplight on March 12, 2012. Immediatly after the accident my whole right side from my neck to my lower back was sore. By that evening I had shooting pain down my back and hip and pain in my leg. I could barely move. A week later, my leg and foot was tingling and went semi numb. That turned to horrific burning and pain from my lower back, hip and down outer thigh to my foot and toes. I took the medrol dose pack two months after suffering with this severe pain. The pain returned four days after I finished the pack. I had physical therapy in the meantime and two months into that had an epidural steroid in my lower back. That dulled the pain a bit for about a month. Then it gradually increased again. I had an MRI of my lumbar and cervical spine that showed a small left later extraforaminal l bulge and protrusion at l4 l5 that the doctors say cannot be causing all my pain. I have been diagnosed with nerve root inflammation at l4 l5 by one orthopedic doctor and muscle strain by other orthopedic and nuerologists. Eight months later, I still cannot sit, bend, lift, reach or walk without pain in my back, hip and down my leg. I am taking mobic now. It just dulls the pain a little bit. I wake up with baseline pain every day and it increases with motion. I also find that my knee hurts with walking and moving too. What can I do to get out of pain? I am frustrated and exhausted. I had no preexisting conditions before my MVA.
[|AI|]  Hello, thank you for sharing your problem in Chat Doctor. Pains generated from traumas are in general complex pains. This means they have many causes : emotional, muscular, articular, bones and innervation. If your MRI didn't show any problem with your bone and articulations they can be caused by the torsion of all the muscles in that area. A big part of it can be caused by the hernia tic disc that was shown in MRI. Doctors might have said you that it can't be responsible for all your pain, especially if it is a small hernia tic disc. I believe that the pain also has his emotional components. In 2 patients having the same problem, the perception of the pain can be different and also in the same patient having a problem the perception of the pain can be different in different times. What I suggest are Anti-inflammatory non-steroidal Chat Doctor.  You have to check out with your doctors if they can intervene.