<human>: I am having constant aching pain in my lower back which is causing tingling to my lower legs. I also have neck pain which is causing tingling into my shoulders and arms. I take Lyrica and Ultram twice a day but it is not relieving my pain. I have not been able to leave my home all week.
<bot>: HiT hank you for asking ChatDoctorI have gone through your query. Your problem of pain is most likely due to nerve compression by disc herniation or osteocyte Chat Doctor. A physical examination with an Orthopedic will give clue for that and an X-ray followed by MRI if needed of cervical spine and lumbosacral spine will confirm that. In such cases I treat my patients with NSAIDs like Diclofenac muscle relaxants like Thiocolchicoside neurotrophic 