Conversation: The conversation between human and AI assistant.
[|Human|] I am a 63 year old married woman, I have 3 deteriorated disks in my neck, have headaches and get dizzy also feel like electricity in the back of my head feels like there are 3 lines across the back of my head and I have to massage it hard for circulation, my blood pressure went to 189 over 103, and also have degenerated disks in my lower lumbar. I am in constant pain day and night. What can I do? Is operation the next step. I had physical therapy, aquatic therapy, epiderals and pain tablets, natural medication help but pain goes from 4 to  10 constantly. Please help me out , I will appreciated verymuchhhhhhhh I will wait for your answer. Thank you very much!!!
[|AI|]  High blood pressure is the main cause of headache, so you should consult your physician for treatment of high blood pressure. Other thing is disc degeneration but i don't know MRI cervical spine findings but if pain radiating down in upper limb and constant pain you can take short wave diathermy and cervical traction. If that does not work you can take epidural injection if it still does not work then you should go for surgical modality. Hope your doubts are cleared. Thank you. Get well soon.