<s>[INST] I am having sometimes severe lower back pain and right hip pain (and now right shoulder pain).The pain is sometimes so severe I can t sleep.I saw an orthopedic doctor who said I had some osteoarthritis, a bulging disc and a fractured vertebrae. It s been a while since I ve seen him and the pain is getting worse. Should I consult a neurologist? [/INST] Hi, Thanks for your query. Your pain is due to Arthritis. When bone is not able to take weight due to arthritis than it has to be shared by muscles. Also, some time it can be due to nerve compression. You can judge your self. If your pain increases on walking and relieved with rest, it is suggestive of nerve related pain. Arthritis pain is present even when you are taking rest. I will suggest you following. Hot water fomentation. Volition ointment Tablet Pregabalin M one daily at nighttime. Calcium and vitamin D3 daily. Tablet Tramadol one daily. Please consult your doctor before taking those medicines. Consult an orthopedic surgeon for further workup and management. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care </s>