Conversation: The conversation between human and AI assistant.
[|Human|] I have been diagnosed with chiari malformation and lumps on my thyroid. My energy has decreased quite a bit and my arms feel heavy and weak. Migraines are an everyday problem now. Vision is blurry off and on, just doing everyday things are a challenge. I have been seeing a chiropractor to help alleviate some of the migraines, but as soon as I go back to a full day of work I feel just as bad or worse. I also have problems with keeping my blood sugar up. I am not sure that this is what s causing this or if there is more going on than I know. Any ideas to what is going on?
[|AI|]  First, the migraines are an issue with the brain not the spine. If a surgeon does not want to operate on the Chiara malformation then more than likely it has nothing to do with the headaches. There are many reasons to have chronic migraines and these should be evaluated by a headache specialist. Having chronic pain can cause decreased energy and visual issues. Chronic pain can cause lack of good sleep which in turn can cause less energy and more headaches as well. Hypothyroidism can cause this too so if you have lumps on your thyroid then thyroid hormones should be checked as well.