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

### input:
My Dad is 80 and had severe back surgery for scoliosis about two years ago. He now suffers from severe burning in his knees and legs when he walks. It seems to be worse in the mornings. He is on several medications for pain and depression too. He has no numbness or pain in his feet. The pain Dr. said he couldn t give him a shot in the back due to the rod and pins in his spine. We are not sure his problems are a result of e surgery or some other underlying problem. Can you help?

### output:

Hi, thank you for providing the brief history of you. As the surgery was performed for the correction of scoliosis at the age of 80 now due to the aging of the spine and weakness of the muscular system there will be a compression on the nerve root in the spinal column. As the doctor already mentioned the contra indication of the steroid dose, I will advise to undergo physical therapy as by which most of the muscular system can be activated and the current symptoms can be reduced. In my clinical practice, scoliosis surgery at the age of 80 is not a recommended one, along with physical therapy most of the symptoms can be controlled. Also, to the younger generation who have undergone the scoliosis surgery do get post surgery symptoms at early or later stages of life by having muscle weakness and nerve root entrapment. We advise the patient who have undergone or who have not undergone surgery only physical therapy as most of the symptoms can be controlled as well. I also wish your father a good health as aging doesn't require any surgery but a proper care and approach as well. In my clinical practice, I see geriatrics with a lot of spinal problems, but surgery is not the choice to perform as due to the age factor chances of the future years to get trouble may become high due to degenerative changes in the body. Physical therapy is of choice as most symptoms can be controlled with physical therapy and medications. RegardsJay In Chat Doctor. 