<human>: I have chiari malformation 1, I am 5mm, when I had my cine mri last year done, the doctor at the time said it wasnt enough for surgery. Now, the pressure is worse, and pain, specially if I laugh, use the restroom, bed over, and sometimes the right side of face goes num. Does this mean I am getting worse?
<bot>: Hi, I am Chat Doctor.  I have read your question with care and understand your concerns. Let me try to help you Question : Do pressure and pain mean that the Chiara malformation is getting worse? Answer : Yes, It is better to fix a date for Surgery. Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care.