Thank you very much. One query i have for that medication (pregabalin or gabapentin capsules) you suggested, what would be the dosage for this, and how long need to be taken ect. Also would like to know, do you thing there is any need for any operation. Is this completely curable. Kindly guide on this. Thank you again.
Here is the report for MRI Spine:

Clirrical History : Pain in chest wall lwith a gridle sensation. Imaging Protccol : Multiplanar irnages of lurrbo-sacral spine on Tl. T2 and sTlR sequences were obtained. Findings : Mild bulge of L4-5 disc is iloted mildly compressing the ventral thecal suface & impinging the perineural fat at bilateral neuroforamen. The effective AP canal diameier at various disc levels are as follows: L1-2 = 18 ifirr L4-5 = 12 mm. L2-3 = i6mrn. L5-S1 =i0nrm. L3-4 = 17 m t. Mild scoliosis of dorso-Lumbar curvature is noted wrth convexity towards right. The vertebral bodies are normal in height and marrow signal intensity. Marginal osleophytes are notecl. The ligamentum flava are not hypertrophied. The cord ends at normal location The thecal sac, conus and the caucia equina nrerve roots show no obvious; intrinsic abnormality The perivertebral soft tissue structures are unremarkable IMPR ESSION: MRI of the Cegeneralive lumbo sacral spine shows nrild bulge of L4-5 ciisc inildly compressing the ventral thecal surface & inrpinging the perineural fat at bilateral neuroforamen. Screening images of dcrsal spine shows no obvious abnormallty. Haemangiomas are seen in D6 and D9 vertebrae The cord appears normal.

Hello doctor,
Good Day !!
Would like to update on my mom's present health, as you advised, she is taking pregabalin 75mg two times, along with she is taking Ltoxine (for hypothyroid), Sindopa plus (1/2 tablet daily for parkinson disease).
There is little bit improvement in pain on upper half of the body (as told you earlier, RIBS, Spine), but pain/strain is there in both legs after going to bed at night. Sometimes pain is more that she can't sleep, mainly on lower feet area, and the pain is from cup to feet.
Requesting your suggestion, if these medicines are to be continued and any other medicine need to be taken for legs pain. If need to make any chnages for Syndopa or any..
We are doing test on vitamin D deficiency and osteoporosis as suggested. Will update with report soon.
Kindly suggest. Thank you.

Hello Doctor,
I tried attaching the report DEXA & Vitamin D deficiency, but could not, so sending via mail to id [email protected], kindly get it from there.
As I told in my last update, there was bit improvement, but again pain started after 3-4 days and it is continuing. Some time it is severe that she can’t control herself due to pain. We are bit scare of her condition, as why positive progress is not happening for the last 1 year, as we visited doctors from different specialization before coming here for consultation.
During severe pain, once one doctor prescribed a painkiller containing following composition: (i) Tramadol Hydrochloride- 37.50 mg. (ii) Paracetamol- 325 mg. (iii) Excipients- q.s. and is in used in time of excessive pain and having good relieve. Would like to know how far this is ok to take as per her condition. Also kindly suggest if this can be continued or not when pain is more, if not please suggest alternative medicine which can provide good result in time of excessive pain.. or else suggest otherwise.
Regarding physiotherapy, she was undergoing the same, first 3-4 days, there was improvement, but after that she couldn’t able absorbed the untrasound heat, hence it stopped now. But exercise is going on.
Kindly suggest how this can be cure … she is not feeling well at all, sometimes we are helpless in this condition what to do next for her recovery.

Thank you.