hi thanks for your time my question is what is best for breakthrough pain i am taking 145mg methadone in two daily split oses it does help but i get bad electric shocks down back and front of my right leg and my knee is real sore too as is my big toe and on thge outside of my foot it is sort of pins and needles and my bum goes to sleep but atm its the burning and the shocks that are killing me i believe i dislocated l4,l5 facet joints and think i may also have nerve root involvement i am miserable
Hi, Welcome to Chat Doctor forum.  As you describe it appears to be the neuralgia, may be secondary to the hypertension, diabetes, anemia, deficiency of vitamins, or calcium. The other cause may be the pressure on the nerves of the leg.  I advise you to consult a neurologist for diagnosis and treatment.  I usually prescribe to my patient with such symptoms neurotrophic injections for 10 consecutive days, and then periodically. Calcium supplements, and painkillers.  Avoid taking potato, other tubers, tomato, egg, chicken, and seafoods.  Wishing for a quick and complete recovery. Thank you.