Conversation: The conversation between human and AI assistant.
[|Human|] I have been having persistent  backpain for over 8 months now, I take tramadol and Cyclobenzaprine for muscle relaxer. I have done Physical Therapy, and had two epidurals to no relief. I have been tested for Spondelitis, and the only cause shown on MRI could be buldging disc, and anuluar tear. I am starting to get a feeling like im on a boat kind of light nausea, I feel as if im weak, and have a poor short term memory now. The black spot just appeared on my right palm, and not sure if Tramadol is causing the nausua or the Cyclobenzaprine. My pain is usually around 8-9 out of 10, I dont have the MRIs to show, Blood work comes up normal.
[|AI|]  Hello and Welcome to Chat Doctor, Thanks for writing to us. I understand you have back pain. These symptoms are part of lumbar disc degeneration with PIED where the nerves get compressed by the protruded disc. There are several treatment modalities with medicines, physiotherapy and with injections in the back called epidural injections and root/facet blocks. If you don't get better with this treatment, I suggest you undergo surgery, by which the nerves are decompressed by removing the protruded disc (discectomy), which would significantly improve your symptoms Hope this helps you. Wishing you good health... Regards.  Chat Doctor. Orthopedic Surgeon.