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

### input:
I received a lower lumbar fusion 1 year ago.I currently have back spams,swelling in infusion area. Along with this I also have 10 degenerated disc. 4 on my neck which that are considering also considering fusion.Though the numbness on my legs are gone, I still have bad lower back pain, now my hips and butt cheeks hurt as if I;m getting a cramps frequently. I have developed insomnia, severe depression, which I took 8 ambiens hoping not to wake up. I get anxiety attacks 3 to 5 times a week, my head aches and loud music aggravate me. I feel alone, hopeless, sad and i find my self crying every day/ I even forget where im driving and feel confused,i cant stop cleaning, im scared. when or do i have a chance to back to work? meds given very from buspar,xanix,norcos,norflex,Quazepan,parovetine gapapentin. currently cymbalta60mg ,temazepam 30mg.

### output:

Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Insomnia and Depression are not related to Lumbar Fusion. They are separate problemsPlease consult your Neurosurgeon at the earliest 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. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask