Conversation: The conversation between human and AI assistant.
[|Human|] I am 46 yrs old, female. I have degenerative disks and 2 yrs ago had 3 cervical disks replaced with instrumentation. Now I am having very sharp pain and pins and needle sensation in my upper back and the left upper portion feels like my skin is numb and freezing cold. This pain wakes me up at night. What would cause this-it isnt going away and is more frequent. Thanks!
[|AI|]  Hello, I have studied your case. You may need to do MRI spine with contrast again to see for nerve compression. Due to compression of this nerve root there is tingling numbness in your back and pain associated with it. Previous surgery may lead to early degeneration around operated vertebrae. Another possibility of spinal canal stenosis leading to pain on standing. If your MRI shows disc bulge with nerve compression then surgery may help. For these symptoms analgesic and neurotrophic like pregabalin and methylcobalamine medication can be started consulting your doctor. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and TENS therapy will help will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.