### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, My mother is 75 and she has had a joint replacement of her left hip joint. That was some 7 years back. However her problem now is that she has got various pains in her legs, back and tingling and numbness of hands and feet. Now she walks with lots of uneasiness. The local doctor has prescribed Nervigen and Vitamin D(3L units) injections alternately every 15 days for a total of 6 injectios each. Is that a proper dosage. I mean is that too much? Shantanu

### output:

Hi, thank you for providing the brief history of your mother. As she has undergone the Hip joint replacement 7 years back, post which due to the weakness of the hip muscles and change in the gait cycle will lead to long term strain on the spine. Due to which now she is having the symptoms like, back pain, tingling and numbness. Also, due to aging there will be a degenerative change in the spine as well - cervical and lumbar. Also, to understand here is the human body is a self healer, and vitamin D supplement is just a symptomatic treatment, but the actual vitamin D is available through the sun. IF vitamin D is a supplement than trees and plants will grow without Sun. So I will advise to take sun bath on daily basis, also to undergo physical therapy as by therapeutic ultrasound and TENS therapy the pain will be lowered, but later on performing regular general body exercises which will be of only 15-20 minutes and no strain on the heart is kept in mind. I have personally dealt with similar cases. I am more focused on geriatric cases, so I look to all corners of them and find the best natural possible way to help them. Aging needs proper attention and rehabilitation plan, medication is only for symptomatic relief, and for the body to function normal, the body has to rise. I will recommend taking physical therapy and sun bath to help your mother with the non-invasive treatment. RegardsJay In Chat Doctor. 