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

### input:
I have been struggling from a back injury from work for over a year! Just yesterday they did their second MRI & EMG NCV treating! Today I am usually a level 4 never 0 anyways. Out of no-where I went to a level 10? My low back is throbbing but my private area & down my legs and feet I have numbness & shooting pains and tingling only in private area and down legs. My low back flat out hurts??? Should I go to the ER? Incidental note of Bilateral cysts at S1-S2/S2-S3... Not on Doctor at Kaiser would ever discuss the cysts nor show me my MRI onMonitor until my new Doctor and for second opinion. He is not in and I am scared? Why are doctors so uneducated about the truth and reality and that Tarlov s cysts are a RARE DISEASE?

### output:

Hi, thanks for the brief history of you. If you have severe pain going to ER is always a good option. Since you have taken an MRI, NCV and EMG one should be able to come to a conclusion close by if any nerve is getting trapped in the area. Since you mentioned even you have bilateral cysts at Sq-S2 and S2-S3 levels it is hard to do instantly anything to get the pain lower. But you should try out a physical therapist where I am wondering why you have been not advised yet. Since the pain is more along with tingling and numbness getting the help from a physical therapist should work for you. The therapist might use therapeutic ultrasound and TENS to help you get ease of pain. Since its invasive and works on pain gate theory as well you should find some relief. I have seen a couple of case and advised the same, the pain level has instantly come to a point where the disability of the functional movement had come to ability of functional movements. I recommend you to look for a physical therapist and seek some help from there. Once the pain levels come down strengthening the core and hip muscles will surely help you. With the grace of God I wish you a speedy recovery.