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

### input:
yes I have been seen by 4 doctors but they feel I should go to pain management. I am in pain beoynd what I can bare, now try to get help.C 3/4 Bulging disc C4/5 Bulging Disc. C5/6 Fibrosis/ surgical scar . C6/7 Fibrosis/ surgical scar.Thats just one area L 2/3 Bulging Disc L3/4 Arthritis Disease, Bulging Disc L 4/5 Arthritis , Bulging Disc. My Question is the 4 Specailests sais I should just go to pain manament , stop worring, I have a slideing Disc in C3 on my spine feel its nothing to be concerned about.As well as I had A 2 dics C5/6 C6/7 slipped needed to be frused in 2001. I cant take the pain or pain medacations, I am afraried the one disc will slip and cant walk for 100 ft with out awfull pain.I am a Mom of a Autsic child MR Deaf , I am 54 of this month can any one help me, Mrs Fran Woy

### output:

Hi, thank you for providing the brief History of you. As mentioned in the history by you that you are having cervical disc degenerative disease I will be more concerned as the levels mentioned by you are painful, and you are right on your part that the pain is excruciating. Since the painkillers are not possible due to various factors of which you have not mentioned I will advise you to undergo physical therapy. As you are 54, you may have degenerative changes in the body as this might be leading to weakness of muscles and also reducing the inter vertebral space. By the reduction in the inter vertebral disc space there will be compression on the disc which is a jelly substance in the inter vertebral disc to provide act as a shock absorber. Also, when muscles fail to hold the vertebral body in place the pressure applied to disc may in turn compress the exiting nerve roots and leads to pain and weakness. As in my clinical practice such patients with high level of disc injuries we refer to physical therapy and MRI. With physical therapy like therapeutic ultrasound therapy and TENS therapy the pain can be controlled for a limited period of time and in that duration strengthening the muscle groups of the neck is important. Also, the therapist can provide manual traction and release the pressure from nerves to provide good relief. Most cases in my practice respond well to physical therapy. RegardsJay In Chat Doctor. 