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

### input:
hi I have herniated disc and nerve pain tingling and numbness in my left leg, a year ago July I have 4 steroid shots in my lower back, I think they are wearing. the past new weeks Ive noticed NEW Pains in back and hips. Last night and the night before Ive been waking up all night with spasms/tremmors and excruciating pain in my left leg, and now in my right leg too. I am taking Norco 10/325 and Neurantin. Last night at 2:30 the Pain was so bad I was shaking and almost throwing up. I needed muscle relaxers and fast, I took a valium and at 4:30 I was still having the pain and spasms, I took the Norco and Neurantin because it was time again and at 6am I ended up getting out of bed and walking on the old cement garage floor to get some relief. What can I take along with Norco and Neurantin? I have valium but it didn t help, I also have tramidol, but not sure if these are save to take with the others....

### output:

Hello! Thank you for asking on Chat Doctor! I read carefully your question and understand your concern. Regarding your concern, your symptoms seem to be related to a worsening of your situation (which may be a higher grade of herniated disc, or a stenosis of the spinal canal, compressing both the nerve radix and the spine). This is an urgent situation, which can lead to serious complications if not treated immediately. I recommend consulting with your attending physician for a careful physical examination and a lumbar spine MRI or CT scan to exclude possible huge hernia or compression of the spine. Even if the situation of the herniated disc results to be the same, this can be considered a case abortive to therapy, which is an indication for surgery. You should discuss with your attending physician and the neurosurgeon on this possibility. Hope to have been of help! Best regards, 