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

### input:
I have degervig disk cease but also I feel and Somerset my back feels like a a needled is going in me sometime in my back do u thanks MRI will show me what s wrong plus what could it be with something in my back stabbing me sometime I gotta catch my breath plus it hurts Somerset when I walk please help

### output:

Hi I am Chat Doctor. .  It could be a sort of sciatica due to nerve compression which may show your symptoms and also sometimes tingling or numbness is felt during low back pain and cause throbbing neuropathic pain.  I hope you feel better soon, in my opinion medications alone would not help you that much, I recommend physiotherapy sessions, spinal straightening exercises, neck stretching exercises and hot massages is very helpful with most of the cases.  For my patients I recommend painkillers (NSAIDs) like Tylenol 400 mg tabs when needed, gentle massaging with topical anti-inflammatory gels, muscle relaxants, B12 vitamin supplements, in more severe or chronic cases steroid tabs (vi codeine) or injections and anti-epileptics like gabapentin are prescribed if required.  You may try to avoid heavy lifting, over weighing, obesity, vigorous movements and bad sleeping or sitting postures will be helpful in most of the cases If medical and physical medications failed for 6 consecutive month I recommend you undergo further investigations like X-rays and MRI scans to exclude any spinal injuries or disc herniation and follow them up with your neurologist for proper evaluation and management.  Nowadays minor invasive endoscopic interventions are highly developed and have had very good results, but that depends on your general condition which I think from your given history and your age would not need further surgical interventions for spinal fixation with rods and plates if your spine condition requires.  For now try to be patient to avoid high salts and proteins meals and always allow high fluid intake to prevent deny