<s>[INST] I am taking methadone 30mg 2x a day. I have cervical dystonia and get botox every three months. The botox does not work anymore and have two herniated discs in my neck. I just got my last botox 3 weeks ago. Can t get comfortable in bed at all - even sitting in a recliner. Also have pain in both feet and left leg. The leg is a different color as I broke my left ankle in 3 places in 2005 and then fell and broke left tibia platue followed by a total knee replacement in 2011 at New England Baptist Hospital in Boston, MA. I am in great pain and don t know what to do. Can you help me as I have been to the pain center at Brigham Womens Hospital and recently had a lidocaine fusion which didn t help. [/INST] Hello, I have studied your case. Due to compression of this nerve root there is tingling numbness in your leg and arm and pain. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. If nerve compression becomes severe later on then surgical decompression will give permanent relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care </s>