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

### input:
Hi I had in Dec.2010 my first neck fusion of c-5,6,7 because of a buldge disk of c5,6 which was incroching in To my spinal cord. It had started time fail in April 2011 with some broken screws that the Dr. PA told me but nothing was done after 18 month I took things into my own hands had so nerve conductions done and then saw my hand Dr. they both agreed that there was a underlined problem and was told to see a Nerospinesurgen. So I did he Han me do a CT Mylagram which showed a compleat failed hardwere and needed another surgery. So after living for 18 months with this failur with not even any bone growth the Surgen said it was a mess and he had to take c4 now. So my fusion is cc4c5c6c7 and I have problems with my arms left is worst the the right. The Niro conduction says.( bilateral median nerves neuropathy,sensory, L R, demyelinating. bilateral median neuropathy, motor, L R ( left side axonal and demyelinating ,and right side axonal) Could anyone let me know in a way I can understand. I know how I feel and the constant pain and numbing I m going threw I just want to know why.

### output:

Hi, I am Chat Doctor.  I have read your question with care and understand your concerns. Let me try to help you Median nerve is the nerve that supplies most of the muscles in your fore arm and some important muscles in your hand In your case, this nerve is affected on both sidesSoyou may have difficulty in using your wrist and thumb you may also have difficulty in griping objects in addition you may have numbness or tingling sensation in area supplied by median nerve the treatment has to start with medicines that improve the nerve regeneration. Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care.