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

### input:
I have central canal stenosis, compromise of the left paracentral thecal sac and left nerve root, facet hypertrpohy/ligamentous flavum hypertrophy, bilateral inferior neural foraminal narrowing, and a paracentral disc protrusion. The pain presented in May 2010 and has worsened to its present state today. I cant sleep, cant sit up straight, cant sit in my office chair at work for long periods, cant even change my babies diaper without excruciating pain. The pain from sneezing and coughing is so bad I try to avoid doing this altogether. Now I walk with a limp at all times and my left leg is week and the left foot is partially numb. The pain is so great at times that the ER has documented my blood pressure at approximately 220/160. Before my back problems developed, my blood pressure was normal, typically 100-120/80. yesterday I started feeling dizzy throughout the day, almost passed out while sitting down.  Dizziness has continued into today.  Should I be more concerned about a stroke now?

### output:

Thank you for the question. Your spine problem may require surgery for all findings stated by you. You also need to stabilize the BP first before any surgery. You may consult a physician who shall investigate for cause of hypertension and as it needs monitoring with medicines response, it is safer to be in touch with the doctor periodically than to be prescribed online since BP has to be periodically monitored with other tests. As of now, spinal lumbosacral brace should be worn and Pain medicines like Ibuprofen 600 thrice a day after meals, chloraxazone 500 mg twice a day after meals and pantoprazole 20 mg once a day on empty stomach in the morning may be taken. Avoid bending forwards or lifting weighty things and rest in hard bed is required. Consult a spine specialist for complete evaluation and surgical options for future