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

### input:
About 7 wks ago, I was bending over picking pine cones and gum balls up off the ground. Since then I have had some pain in my right back leg, but now what is bothering me most is the numbness and tingling in that r. leg. I think i have a pinched nerve in my right side below the waist. My Dr. here has did a regular xray that showed a narrowing on the right side of my back. He thinks I need a cortisone shot. I have been taking predisone, but i THINK i HAVE A PINCHED IN THAT BACK SIDE

### output:

Hi, As mentioned by you, I can understand that there is possibility of Lumbar spine disc degenerative disease. Also, undergoing an MRI is the recommendation to understand the level of compression, and then you can be helped by a physical therapist. Using the Therapeutic Ultrasound therapy and TENS therapy will help reduce inflammation and pain. Also, post that strengthening the muscles of the spine, core, pelvic floor and lower limbs will help for controlling the symptoms and recovery also. Cortisone and prednisone are the secondary lines of action. For any pinched nerve there is the safest way to practice1. Assess the patient and make provisional diagnosis2. Confirm the diagnosis using the radiology - like MRI scan3. Rest - sleeping on a hard surface and avoid bending4. Physical therapy - Electrotherapy & Exercises5. Cortisone6. Surgery. Now, taking cortisone will help reduce your pain, but the actual pain will be present, since cortisone will only block the sensory pathway to the brain and possibility of pain to come back are there after cortisone. Also, cortisone is a steroid, so steroid has its own side effects with are unknown, and I will personally do not advise undergoing cortisone. I will advise to undergo physical therapy, though it will be a slow process, but there are no side effects. If physical therapy fails in 12 weeks then the cortisone is advised, Also, in my daily practice I have seen patient with lumbar spine disc degenerative disease, and all have been helped with the following protocol1. Rest2. Physical therapy wish you a good healthy futureRegardsJay In Chat Doctor. 