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

### input:
Dear sirs, For many years about 1985, I was a runner, I would get a pressure midback as I began my 3 mile jog.I would have to stop lay down on the trail, stretch and adjust it,then I felt better. This uncomfotable pressure moves from thoracic both sides comes around seems along my rib cage to my sternum like a vice. This disabling burning aching pain increased through the years. I have had many x-rays and mri s.In 2003 or 4(off hand ) report said I have a hemangionoma. Small one centered in spinal cord . I have other spinal problems that doctors say are causes for pain but not there. I have been on many pain medications, I quit oxycontin because of predudice monthly questioning me. I asked for methadone because of pain properties. It s been 2 years and it s losing it s affect. I take 5 mgs 2 tmes daily under a 20 mg prescription 2 times day.I m having to up the amount to almost the prescribed amount. I didn t want to go there. I m 61 and at my end can you give me some direction, who can help me? sincerely, and thankyou, Nadeen Clark

### output:

Hi, thanks for writing to Chat Doctor. Hemangiomas are BENIGN tumors that occur most commonly in the vertebral column and especially favor the thoracic spine. Generally, these remain asymptomatic for many years or even for entire life. The most common treatment used for hematomas associated with pain is RADIOTHERAPY. If there is any associated neurological compromise, surgery is indicated. I suggest you to consult a spine surgeon for further management. Hope this information is helpful. Good day