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

### input:
What is the cause and remedy for tingling lower legs only a concern when standing or sitting ,not when l ying in bed. Preasure stockings help controll it. I have had it for years but is getting worse as I get older I now have to wear preasure stockings most of the time to controll it now days

### output:

Dear patient thank you for your question. You seem to have a condition known as Prolapsed Intervertebral Disc or Misdiagnosis:A cat scan of the lumbar vertebrae is the most definite way of diagnosis. Acomplete physical examination involving the straight leg raise testReverse lasegue testator and sensory dermatome tested tendon reflex testicle power test will give a diagnosis.The tests are to be performed by your orthopedic surgeon or your GP. The treatment for this condition is:A-Medical1)Initial treatment of lumbar disc disease consists of anti-inflammatory medications including ibuprofen (Motrin, Advil) or naproxen (Alive)2A short course of oral corticosteroids, such as prednisone, can also be of benefit, but long-term use of corticosteroids is not recommended.3) Muscle relaxants like Flexion Mr 500 mg twice a day might helpB-PhysiotherapyPhysical therapists have many modalities at their disposal to assist in the treatment of lumbar disc disease. These include heat, massage, electrical stimulation of muscles, ultrasound therapy, and water therapy) Surgery:Surgery is an option for the treatment of lumbar disc disease in people who do not respond to themedicationsSurgical options include lumbar decompression, lumbar fusion, and lumbar disc replacement.