<s>[INST] Hi my name is Deann, I have secconary Raynauds.it s taken a few years to firgure out what s been happening to me. But besides that I have carbabl tunnel and dierateing dise desese in L5&L4 I been living in a lot of pain I m 47 . I haven t been able to work ( I m always dropping stuff ) If I try to do anything I end up in pain and I can barely get out of bed. If there is something or some one that could help me PLEASE!!!. I don t ,can t live like this. I ve lost everything because it to hard to work or get through a day [/INST] Dear Deann, Keep your hope high. As modern medical treatment advanced you can manage these problems easily.1.First, take analgesic. Tramadol combined with ibuprofen or pentazocine will be very effective. Hydocodone combined with paracetamol is very effective.2. Take nifedipine. It is widely prescribed as a Chat Doctor. 3.1-2% topical nitroglycerin is very useful.4. Wear a belt for disc prolapse, but you can get maximum benefit from surgery.5. For carpal tunnel syn </s>