Conversation: The conversation between human and AI assistant.
[|Human|] I have been suffering from pain radiating down my leg and lower back; diagnosed with sciatica, spondylothesis, spondylolytis, degenerative disc, etc.  I have had x-rays, MRI, and a bone scan and was told that the only treatment option is an epidural.  My problem is that all the doctors I have gone to have basically used the conclusions reached by the doctor I saw previously as their jumping off point for diagnosis/treatment.  I would like to start from scratch and have a doctor examine me head to foot before looking at x-rays, etc.  What kind of a doctor should I consult?
[|AI|]  Hi, I recommend a neurosurgeon or a spinal surgeon he will begin with a physical exam, your doctor may check your muscle strength and reflexes. You may be asked to walk on your toes or heels, rise from a squatting position and, while lying on your back, lift your legs one at a time. Pain that results from sciatica will usually worsen during these activities. Then some imaging, some medications like anti-inflammatories, muscle relaxant, narcotics, tricyclic antidepressants, and anti-seizure medications. Hot compresses with massaging and physiotherapy with topical gels are very effective or even yoga. Steroid injection decrease the inflammation around your spinal nerve root with some B12 supplements are effective with your neuropathic pain. Hope I have answered your query. Let me know if I can assist you further.