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

### input:
I suffer from Spinal problem with severe pricking, stitching pains running from the top of my spinal cord at the neck down to the tips of my toes. Esepecially on the left side just where the Kidneys are there is severe pains on the left side of spine and when I sit or stand for long thee is a numb but deep pain from the left side of my hip to the knee . There ae pricking pains especially on both big toes. There is also numbness as if cells and muscles are dying. I had lifted a very heavy girl and played with her about 14years ago and the pains started then. I have been to several Physyiotheripist Consultant doctors, all they give are painkillers, tractions, and lights treatment, which has not done any good. In fact the pains are moving upwards to the nape of my neck and the shoulders and below the shoulders at the back. Doctors are advising surgery, but I am afraid of landing in a wheelchair or bed ridden if something goes wrong. Doctors say that screws and other item will be inserted and I am not in favour of any part of my body being screwed and whatever. WHAT IS YOUR DIAGNOSIS ON MY SPINAL PROBLEM AND CAN YOU GIVE ANY ADVISE TO RELIEVE THE PAINS WITH EXERCISES?

### output:

Hello, Thanks for posting your query You might be suffering from PIED. Due to disc bulge, pressure occurs over nerves & this may cause pain & numbness over big toes. You may require an MRI to confirm the diagnosis & to know how much pressure occurs over nerves due to disc bulge and at which level. You may require surgery if pressure is more, but don't afraid of surgery.  With physiotherapy. Spinal extension exercises. Avoid forward bending prolonged sitting, pressure over nerve can be reduced & symptoms can be relieved. Regards