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

### input:
I am having intense back pain, two weeks. Have bulging discs all lumbar section and sacral on right, also have fractured vertabae t-12- torn end plate also in thorasic , spinal stenosis. Am not looking to take more pain med since I am taking methadone 10mg-2-3 times daily. This is prescribed for pain and parephal neuropathy. Would muscle relaxant help.

### output:

Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. Based on the assessment the muscular strength will be determined, also an MRI will help us determine the status of the soft tissue injury. Post which undergoing physical therapy for reducing pain and inflammation is advised, the therapy you need to undergo is therapeutic ultrasound therapy and TENS therapy. Post which exercises will be implemented to strengthen the core, pelvic floor, upper limbs, lower limbs and spine. To understand here, that you have a D-12 vertebrae fracture the lower limbs and the upper limbs needs to be equally balanced by strengthening as spine is the only connection between the lower limbs and upper limbs. Strengthening the body as a whole will help your functionality to regain back and by practicing the regular exercises will help you on your feet. The whole procedure may be time-consuming and long, but recovery is always close if you put your 100%. In my clinical practice I had a Doctor who was my patient had similar issues, but the physical therapy has helped him to a greater extent. Now, the doctor itself believes that exercises will help for improved functionality. RegardsJay In Chat Doctor. 