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

### input:
I am 50 and have DDD throughout spine and have had ACDF at C5-7, laminectomies with fusion at T3-4, T9-10 and L2-S1. MRIs have noted myelomalacia at C4-5 level due to autofused vertebrae. During ACDF surgeon op notes say no spinal cord softening was noted, but recent MRI notes myelomalacia (no comparison with previous MRI). Over past 3 years have had increasing numbness/tingling/pressure in head/face. It s been treated as chronic migraine (I ve had bad headaches since a teenager). I now have increased numbness pain in neck and throat. Am taking gabapentin, verapamil, venfalaxine, B2, B12 and magnesium. Two years ago I was diagnosed with hypertension. I also have minor weakness in arms and legs as well as shooting pains/tingling in both arms and hands. I can turn my head sideways and up/down, but there is a slight grinding sound and soreness afterwards. And at times the back of my neck is warm to touch. In addition, I sometimes have pain in the middle of my chest that radiates down as well as up to my collar bone area. Could my head and/or other symptoms be related to the myelomalacia? Brain MRI came back normal. Also heart problems were ruled out through several tests including heart cath.

### output:

HIT hank for asking to ChatDoctorYou do have multiple problem with your spine in my opinion medicine has got very limited role in this and if taken that will be symptomatic only or may give some placebo effect the most important is how you react to this if you are taking this with very ease and facing it with open heart without any functional elements then it won't do any harm but with some anxiety and depression this will cause more trouble so just have high moral value every thing will be fine to have nice day.