### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Dear sir, I am 64 yrs old man from Tamilnadu, India with following symptom Stiffness, in the neck, shoulders, arms, hands, or legs. Balance and coordination problems, such as shuffling or tripping while walking. ... Loss of bowel or bladder control (incontinence). and MRI report as follows * cervical spondylosis with degenerative disc disease * Posterior disc osteophytes complex at c2-c3 IV disc level causing significant anterior thecal sac indentation witChatDoctorpression over the adjacent spinal cord segment with altered signal intensity of the spinal cord. S/o Myelomalacia. * Significant spinal canal stenosis noted at c2-c3 level and mild stenosis at c6-c7 level * Diffuse disc bulge with uncovertebral hypertrophy at c5- c6 and c6-c7 IV disc level causing anterior thecal sac indentation and mild bilateral neural foramen narrowing right left with possibility of nerve root compression on right side, more at c6-c7 level. Lumbar spine: Posterior disc bulge with annular tear at L4-L5 disc level causing anterior thecal sac indentation I consulted Spine surgeon They advised for surgery but I have fear for surgery. Is there any non surgical management for my condition kindly suggest me with regards selvaraju

### output:

Hi Mr. Selvaraj, thanks for your question. Balance problem, in coordination and incontinence are issues which need intervention as early as is possible. The MRI findings of C2C3 disc osteophyte with myelomalcia is a matter of concern. And can be directly related to your problems. But at your age many other neurological conditions can present similarly. It would be prudent to consult a neurologist and rule out other causes for your inc ordination and incontinence problems. If no other cause is found. The cervical spine findings are very significant and surgery is indicated. Modern spine surgery as become safe and effective.  All the best.  With regards.