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

### input:
Hello my name is Fran, I have had spinal stenosis and no cartelege in both knees and am in a wheelchair for over a year now. I have stopped taking Hydrocodon for six weeks now and take Gabapentin along with Tramodol. This is the fourth day I have not taken Tizandine at night for spasams. My doctor prescribed Baclofen instead because my insurance no longer covers Tiz. I looked up the side effects and refuse to take it. I get a burning sensation in my left hip, stomach, and ankles to toes. I have also been numb from the waist down since last April, My question is...what can I take aside from these meds to help relieve this burining tingling pain....also my first three fingers on both hands get so numb it is hard for me to sleep and function during the day. What I m looking for is a natural way to relieve some of this pain. I have been exercising since I got out of rehab due to falling getting out of my walk in tub....my knees buckled under me. They have gotten stronger and in just the last three weeks I have been using my walker with a seat instead of my wheelchair to go to my pain mgmt Dr. and places where I don t have to walk a lot. I am still unable to get into my walking tub and can only wash up with a basin and wash cloth or some how get driven to the gym. I don t want to be on pain meds the rest of my life. I m 70yrs. young. What do you recommend?

### output:

Hi, as you mentioned a detailed history of you I will recommend only an exercise under the guidance of a physical therapist. Your rehabilitation should contain a short term and long term plan. The pain you are facing like, tiling, burning, radiating are a cause of spinal nerve getting trapped. Until the compression is relieved it is tough to overcome the symptoms. Use of a therapeutic ultrasound and TENS will do symptomatic relief for time being. Performing the short term goals like upper limb strengthening and lower limb strengthening will give an add-on to the long term.in the long term program your core needs attention. For which a core stability exercises will do wonders. Addition to this the overall body conditioning will be of great benefit. As I have seen a doctor itself suffering the same. He had the same symptoms or may be worded. Where the medicines he didn't wanted to take we met and took an alternative step for the rehabilitation. He is fine and now moving around. Also, I expect the same with you. I Agree that exercise is a slow and painful pathway for the success but it's the only way to help you out and make you back on shoes. I hope you will surely recover and will be back on. Create a fighting attitude in your mind, and you can overcome all the pain and aches. A disable life will be able again. All you need is to give your 100%.with the grace of God I Wish you a speedy recovery. Regards