What planet is your doctor from? He/She diagnosed you with Chiari Malformation and doesn't want to do anything??? Go to someone else. If this is causing horrible headaches and pain that is affecting your daily living then you have to do surgery to have it corrected. Find a great neurosurgeon that will help. I live in Atlanta and there are many at Emory University that will help you. Don't take no for an answer... trust me.