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

### input:
I HAVE AN ADVANCED SPINAL DEGENERATIVE DISEASE THAT IS INOPERABLE, CONNITIONS INCLUDE SPONDYLOSIS,GRADE 1 SPONDYLOLISTHESIS L-5 [RUPTURED #5,and torn ] OSTEOARTHRITIS ,SPINAL STENOSIS....AND SO ON. MY QUESTION IS HOW DO I KNOW IF IT S ADVANCED TO THE MS STAGE THE REASON I ASK IS BECAUSE I M EXPERIENCING MORE LOSS OF EXTREMITY FEELING AND CONTROL. I ALSO HAVE EPILEPSY DUE TO MULTIPUL HEAD INJURY S. I M GOING TO SEE MY NEUROSURGEON ON MONDAY AND WOULD LIKE YOUR DIAGNOSIS ON LIMITED INFO,I KNOW...THANKYOU STEVEN

### output:

Hi, thanks for the brief history. Since you mentioned your spine issues and head injury I feel its more of a nerve related issue. It won't be MS. as for MS there are different sorts of symptoms and much more to into for. Also, you will be under medication by the physician which are doing their job. What I need from your side is to think about the physical therapy. Many cases with what you mentioned spine issue I have seen with the similar symptoms. With a regular physical therapy, medication, meditation, etc. they are helped. Getting strength in the muscles during the pain and little control muscles is tough but not impossible. Kindly discuss with the Neurologist, how about doing physical therapy, and I am sure he will guide you for one, and you will be helped along with the medication as well. With the grace of God I wish you a speedy recovery.