Conversation: The conversation between human and AI assistant.
[|Human|] Dear Dr. am suffering of numbing in my feets since 25 years started in my toe coming up to my full left foot and now my right foot also begun since the last 3 ears . recently i feel like wearing tight shoes even pain in my joints knees and total hip joints i have no diabete so my doctor started since 2010 treating me while he made a test or me that shown inflammatory veins with medicine called Lyrica 150 mg bd plus (CYMBALTA 30mg duloxetine) for 3 years without getting improvement.but worst more pain in all my joints and can not stand without stick .. my knees having no power to carry me .pain in my total hip joints.i couldn t take CYMBALTA 30mg because it was very hard / strong on me which made me vomit and sick and i knew it was antidepressant drug useless but my doctor said its important for my treatment but could not take it . now since last 3 months he started to increase the medicine lyrica 300mg t.d.r plus injection SOLU-MEDROL IV 1000 mg @ 3 days for every 2 weeks.(three times) till to date. yes the pain in my joints has gone temporarily for 5-8 days i just knew that this medicine contain CORTISONE he also asked to take blood test but was very anxious for result because my ESR was 104 . immediately he asked for another test of blood & urine called serum ig electrophoresis i am so worried now and result will come out after one month as he ill see me .. but asked me to continue take the old medicine (Lyrica,THIOTACID 600mg b.d , Imuran 50 mg Azathioprine Tablets b.d, Caltrate 600-D Calcium Supplement.plus pain killers like Tramadol Arcoxia.pls xanax 1mg at night i am feeling very weakness in my legs can not move my feet forcely i feel my feet is hanged in my leg with numbing and very tightness also the pain start coming back but i use spry sedative and pain killer and can not walk without stick . i need to work and my age is 52 Kindly help me.... is there any dangerous situation waiting for me. and would lyrica help on longer time as higher does of lyrica making me feel drunk also ..but this injection is good for a while only relieving pain Kindly help me and would xanax affect the joints on long term use ??? Thanking you with best regards Abdulla yousif
[|AI|]  Hello, It would be helpful if you look into your blood sugar for this is usually the cause and to include lumbosacral spine MRI with contrast to see if you have spinal stenosis.  The motor weakness should be ad Chat Doctor.  These modalities could identify, rule in rule out the problem and management will follow. Treatment entails escalation of pain medications to rehabilitative medicine and spinal surgery if warranted. Hope I have answered your query. Let me know if I can assist you further. Take care