<s>[INST] I have a history of herniated disc, cervical low back, and a sciatica excruciating pain is going down From my low back down my right leg, and down my knee and my right shin . First my regular doctor told me to wait two weeks and he prescribed Percocet until we gets a little better to weeks later my pain has gotten worse and I cannot walk more than 100 feet before I need a wheelchair I spoke to my doctor over the phone again and she said to go directly to the orthopedic since he was more of an expert in this field The orthopedic told me that it seems from his manual physical test that she did to me that this may be something that could be treated with therapy for pain management and that now and did not even want to do an MRI until I requested that I want an MRI done because this excruciating pain that keeps me from walking is worse than anything else and he stays that I test better than two years ago I told him that Percocet and Tylenol ibuprofen and everything I take tramadol or nothing stops the pain so he said if he could prescribe something different he prescribed Tylenol with codeine but that doesn t work either . I am going to get an MRI on Friday morning 7 April and I am looking to go to a pain management expert I also have proteinuria which on my last urine test was 2+ that s why my regular doctor didn t want to prescribe me anything that had anti-inflammatory drugs, but I m no doctor but I have common sense and I know that you have to weigh the pros and the cons of the situation at hand I need to take something for pain and I was looking online and Aleve is supposed to work well my wife Also has Celebrex that is prescribed to her that she said I could take one in the meantime until I start to get treatment I need help suggestions any other medication that works better A sequence of operation of what I should do I cannot to therapy right now because of the excruciating pain I have on my right leg this pain increases as I walk or stand to excruciating fainting levels a 100 on a scale of 1 to 10 [/INST] Hello.Since the level of pain is so high and not dominated by so many drugs I would order you to do an emergent back MRI.The only drug that you have not used is LYRICA , used for nerve pain.I would try until you do the MRI. You can take start 75 mg twice a day for the first 2 days and then increase to 150 mg twice a day.The other option to calm down the pain, are injections with cortisone and lidocaine in the lower back under fluoroscopy performed by radiology specialist of the spine.Also you can use a lower back corse (brace) to limit some range of spine motion for a short period of timeOnce you have the MRI report then the treatment depends from that and can vary from physical therapy to surgery </s>