<s>[INST] Hi, I have Degenerative Disc Decease in which I have lost 3 discs in the lower lumber. I also have Sponalitis in my neck and presumable the same thing is happening there. I am having tingling, pins and needles in my left hand effecting 3 sometimes 4 fingers and the hand but only the left hand. There is also a funny sensation in both of my legs. The shins feel as if they are sometimes a burning, tingling severely, it’s funny to describe but it is not nice feeling at all. My Doctor says it's because of my damaged back. I know that my back will get worse and he prescribed Lyrica. I have been thinking of having Physio. Would this improve my situation as I have had physic before but that was years ago? As I said, I also have Arthritis, which affects my hands, wrists, my left knee severely, and sometimes my ankles and shoulders, sometimes my toes.  I know that some people think that it‘s an old wives tail but I broke my foot 17 years ago and I know when the weather is going to be bad as it hurts.  What I‘m asking is, do you think that Lyrica is for me? Thanks. Cáit. [/INST] Hi, Thank you for posting your query. Your symptoms are suggestive of neuropathic pain, probably due to the nerve compression in the cervical and lumbar regions (neck and lower back, respectively). Lyrica (pregabalin) is a good medicine to relieve those neuropathic symptoms. In addition, physiotherapy is also useful, especially for improvement in the long term. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website:   My email: drsudhirkumar@yahoo.com </s>