Conversation: The conversation between human and AI assistant.
[|Human|] I am in generalized pain especially on exertion pain in upper limbs pain radiating down one leg from lower back area rtf side becoming worse at night also back ache I had disc surgery 4 months ago c5c6 replaced and pain since in upper limbs and rtf side of back Mir shows c4 narrow but surgeon doesnt want to operate says he think having muscle spasms any ideas what could be problem I m having difficulty sleeping with pain
[|AI|]  You have not mentioned your age which is very important in case of back pain. But as history suggests you are an active working women I will advise you to take painkiller like kilos or biozobid-plus 8-12 hourly for your back pain only when it is worse enough or disturbing your daily work. Apart from this you can take some calcium supplement like tab shall once daily preferably in afternoon. You can do some physiotherapy exercises after an expert opinion of physiotherapist. I will also advise you to sleep on plain surface for some time as it is very helpful in case of back pain. Thank You