instruction: consistent lower back and neck pains yes I have been diagnosed with having a cervical disc herniation since 20 years and a lumbar disc herniation since 12 years an la nerve block procedure was performed in years back the last mri I did was years back
output: hello yes the mri does talk about the disc bulges both in the neck and the back but it is now clear as to the degree of nerve root compromise as canal encroachment as this will determine the degree of symptoms and likelihood of conservative management succeeding I really need to see the mri films to comment the obvious thing is that the mri was done years back so the relevance is doubtful if you are having new symptoms and with passage of time the mri picture may change I will recommend that you two a course of duloxetene 30 my twice daily and added pregabalin 75 my twice daily to see the response and do take them for atleast weeks mind you pregabalin makes you sleepy but that will fade with time