Conversation: The conversation between human and AI assistant.
[|Human|] Hi I have serve pain on my left side from the neck down to my arm and on the right side also, it hurts to left a glass of water. Or to left anything up I have had neck surgery n lower lumbar surgery twice I really need help with this pain. My meds aren t working at all and I don t know what to anymore! So sorry but I don t any money at the moment I did t know I had to pay
[|AI|]  Hi, thank you for providing the brief history. As per the history it appears to me as a recurrence of the disc compression on the nerve root leading to symptoms. I will advise you to undergo physical therapy like therapeutic ultrasound therapy & TENS therapy. Pain and inflammation need to be controlled, and both physical modalities can perform well if taken in a correct dosage. Also, strength training for neck and back muscles is important to avoid the recurrence of the pain and other symptoms. Precaution needs to be undertaken by sleeping on a hard surface, neck collar, avoiding long bumpy travels, sudden jerky movements etc In my clinical practice most sever cases with neck and back injuries are treated well with physical therapy as recurrent Operations are not healthy. Pain control should happen with natural way as too much painkillers can damage the kidneys and physical therapy is a good option. Regards Jay In Chat Doctor.