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

### input:
I fell onto my back while untarping my lumbar load. After 7 surgerys. on my (5) on my left arm and (2) on my left leg. I am fighting Dept of L&I in Washington. I have several thing wrong and I am trying to put it writing what opptions that I can do for my systems. Systems are 1-Bilateral facet hypertrophy L4/5 2-Small tear annular in the L4/5 3-uncovertebral hypertophy C3/4 4- facet arthropathy C4/5 5- T2 signal lesion..in supiorT3cord eccentrict rt 6-Demyelinting lesion /myelomalacia 7-Low T1/high T2 rt rena lesion 8-lateral recessforminal stenosis l2/3 9- small syrina 10 T2 hyperintensity w/ in the cord @ T3 I know there is a lot of stuff...but I was woundering what treatment can I saguest to them That can improve my life stile.

### output:

Hi, Thank you for posting your query. I can understand your discomfort on account of pain and multiple surgeries. In your case, following can be helpful in improving your quality of life: 1. Medications for pain relief such as pregabalin, gabapentin or duloxetine. 2. Physiotherapy- such as IT, ultrasound, heat application, etc. 3. Passive and active exercises for the back, 4. Epidural injections 5. Surgery should be the last option, as you have already undergone seven surgeries! 6. Avoid lifting heavy weights and forward bending. Best wishes, Chat Doctor. 