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

### input:
I have had back pain and been diagnosed with degenerative disc disease as well as stenosis of the spine. I am 37 and my pain began when I was 19. That s when i decided to get help the first time. The remedy and news were depressing that it won t get better. I have had a discectomy about 8 years ago and during rehab fractured a pedicule in the spine causing what honestly felt like lava flowing through the veins in my legs. It was extremely painful. After time that pain subsided as I healed but I have always had back pain. I haven t felt my left thigh for over 15 years now. I should also mention that I have also had recurring pilonidal cysts below my tailbone and I had the last surgery roughly 3 years ago and thankfully have not had one of those monsters since. However along with the normal (my normal) back pain and numbness in my left thigh I have been experiencing a sensation as if I were sitting on a cell phone on vibrate. It is fairly consistent for the past couple of weeks and there is no additional pain. I am currently prescribed zubsolv as it helps to keep my mind off the pain I have and does not give me the bad side effects of pain killers like oxymorphone. I am more active than I was from age 25 to 35 but I am still overweight even after losing 85lbs. Is my degeneration or stenosis getting worse now that I am more active? I am a delivery driver for the past year and in addition to carrying 20-30lbs I also am in and out of a car 30-40 times a day. Any advice you can give me would be most appreciated! Thank you for your time and compassion. I hope you are well.

### output:

Hi, thank you for providing the brief history of you. As mentioned you still have pain, tingling and numbness in the thigh which is troubling you, also further you have a spinal stenosis and disc degeneration, it is sad to hear you had it as a very early age.a thorough neuromuscular assessment is advised. Also, in your case what I feel is the weakness of the muscles which are not able to stabilize the spine. You need a thorough and deep assessment of the muscles of the spine as by which how to handle your case will assist us further. Also, may be your hip muscles will be weaker than, the hip muscles act as a base of support to the spinal column the strength in the hip muscles is of due importance. Besides, stabilizing the spine with cores stability is of due importance. Also, to understand that only spinal muscles strengthening is not the concern here, here the concern is to see the body as one unit and rehabilitate as a whole. Besides, the Strengthening of the pelvic floor, hip muscles, core muscles, lower limb muscles and on later stages the spinal muscles will surely make the body as one unit. I have seen cases of lumbar disc degenerative disease when patient was 16 years old. But applying the correct exercise prescription helped him back to action without aches and pain. I will recommend you to undergo a proper assessment and then a physical therapy as working out behind you will be a tough task but not an impossible one. Slow and steady wins the race. I hope to see you recover soon.regards Jay In Chat Doctor. 