Conversation: The conversation between human and AI assistant.
[|Human|] Hi I had chronic spasms in my back and chronic pain went to er could not stand up right had xrays done and MRI doneit showed trouble WITHTHEL4 AND L5 DISIC. and swelling put have pain in my neck and pressure in my ear on the right side and terrible headaches what is causing this
[|AI|]  Hi, welcome to our site. I am Chat Doctor, MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your query would have preferred if you had mentioned the report of MRI as it was stated. Then we could have probably interpreted better. Now all we know is that there i some problem in L4-5. I am assuming, looking at the symptom complex you have mentioned that there is some pathology in the cervical spine as well, probably of the same etiopathogenesis, as you lumbar spine. And this is causing you the symptoms. An MRI of the cervical spine can confirm this diagnosis. You may need physiotherapy of the neck with possibility of a prescription of pregabalin/methylcobal (depending on the report). I hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck.