Conversation: The conversation between human and AI assistant.
[|Human|] Hi there,i have been suffering from back problems for the past 21 years.2 years ago i had a discektomy lumber,i am still getting pain in my back but recently i have got pain in the middle of my back the painis going to my ribs also i can feel my shoulder and arm really heavy.could you please tell me what it is.thank you.
[|AI|]  Hello, I have studied your case. You may need to do MRI spine again to see for nerve compression If your new MRI shows disc bulge with nerve compression then surgery may help. Due to compression of this nerve root there is tingling numbness in your back and rib. 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. I will advise checking your it B12 and it D3 level. 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.