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

### input:
Hello: Ive been in 2 car accidents. Since then I ve been in severe pain.Mri of the lumbar spine show L4/5 mild left paracentral posterior.Even though this is causing me sever chronic pain, the Neurologist doesnt think this should be a problem. I ve since then had a mri on my neck and cervical spine; which mri show L5/6 diffused disc bulgeeffaces the anterior subarachnoid space.facet joint hypertrophy greater on the left with moderate to marked left neural foraminal narrowing. at L4/5 posterior spondylosis greater pn the right with mild flattening of the right ventral cord. I ve see 2 Neurologist and one Neurosurgeon , Ive told them all im in severe pain constantly every day . ive tried several spinal injections which did not help only ending having to have a blood patch from a spinal headache. I m taking Lortabs 10 ; which one of the Neurologist prescribed and flexrell 10 muscle relaxers, they don t ease this pain because ove been on them for a while the doctor refuses to change any of these because he claims that it should relieve the pain which at first when I first start taking them I did get some relief and was able to hold my full time job. I ve also had decompress therapy for spine , nerve and back. which 13 out of 20 treatments that made me worse because when I come out of treatment I feel worse coming out than going in so, based on the medical stress of the pain, and medical debt, and the fact that I have no ease pain is chronic and severe medical debt that I can t no longer afford, In stop going. These Neurologist , and Neurosurgeon say that these findings of these 2 mri results can cause a little pain but they don t feel they are causing severe pain, but they are.based on the fact of me have been in two car accidents, my back back started from the first one and the second one increased the symptoms that I already had and added as well because from the first accident I did not have a problem with my neck , cervical spine but I do now test show diffuse disc at L5/6 and flattening and narrowing of space in other areas of L4/5. My question is , can these problems in different areas cause sever pain? everyone body is different,therefore things affect people different, What is your advice or opinion on what I should do. Now because of my sever pain I am unable to work.

### output:

DEAR FRIEND, I UNDERSTOOD YOUR CONCERNS, SEE AS PER YOUR MRI REPORT WE CAN ASSUME THAT THERE IS PROBLEM WITH YOU VERTEBRAL DISC AND NERVE COMPRESSION RIGHT? NOW WHAT IS The SOLUTION? BY GIVING INJECTION IS NOT PERMANENT TREATMENT SO AS YOU SAID "everyone body is different, therefore things affect people different" SEE IN THIS TYPE OF CASE PAIN IS THE MAIN FACTOR WHICH TROUBLES YOU DUE TO CREATION OF NERVE ROOTS. NO NEED TO WORRY, YOU NEED TO TAKE IT AND TRACTION THERAPY FOR YOUR BACK IN PHYSIOTHERAPY CLINIC... IF ANY LOCALIZE PAIN IS PRESENT THEN TAKE ULTRASONIC THERAPY.... YOU NEED 15 days TO THIS THERAPY!! THEN ONLY START WITH VARIOUS EXERCISE... TILL THAT TIME WAIT FOR PAIN TO REDUCE....