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

### input:
I am taking Oxycodone 10/325 three times a day for severe lower back pain, with bulging disks in the middle of my back, osteoarthritis, 2 fractures, and degenerative disk disease. I have been taking this for a number of years, but it is no longer helping the pain. I have had both knees replaced 3 times but can hardly walk up stairs or up a hill. I am 64 yrs. young, but the lower back pain is now radiating into my hips. I used to weigh 356 lbs. but now weigh 175. Should I ask my doctor to change my pain medication? I have fibromyalgia, as well as beginning parkinsons. I had rotator cup surgery on both shoulders, but the pain in my shoulders is increasingly severe. What do you suggest? I m sorry. I did not know I had to pay for this advice. I am widow and live on disability, so I cannot afford to pay. I am sorry for wasting your time. As I said, I m sorry. I have $1.83 in the bank for the rest of the month. Can t afford to go to my doctor this month. Thank you for your time and attention.

### output:

Hi Welcome to Chat Doctor After going through your query I concluded that you're having multiple problems. You are having degenerative disc disease, osteoarthritis of knee joint and shoulder pain etc. Now oxycodone is not working. Now you can change analgesic to such as tramadol. Diapering and glucosamine are also helpful in relieving pain. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then please don't hesitate to write to us. I will be happy to help me. Wishing you a good health. Take care.