Conversation: The conversation between human and AI assistant.
[|Human|] Hi I have chronic disc degenerative disease knee replacements. neck and discs problems. I want to lower dose of Norco, but I get no effect, I take 4 a day , but usually take 3 1/2 to get effect. 4 a day is too much. what can I take to increase oomph of 3 norcos instead of 4? does that make sense? Im drugged on 4 but 3 doesn t help I need something to increase strength of Norco I also take 3 20mg Prozac and 3 zanax at nite . too much I know, but cant sleep . not drugged on 3 norcos and all rest. thank you so much.
[|AI|]  Hi, thank you for providing the brief history of you. A thorough neuromuscular and musculoskeletal assessment is advised. As for TKR - physical therapy is advised to strengthen the muscles of the knee and get the good strength and ROM. For Neck and back problems an MRI will be performed and post which the soft tissues will be assessed and also the clinical assessment. Medications on a longer run can provide possible damage to the kidneys and physicians might not like to take a risk. Also, with physical therapy - which is totally non-invasive with no side effects shall be tried. As research supports, that with physical therapy, disc degenerative cases, TAR, back and neck pain shall be treated with the majority of improvements.Also, for strength improvement, there is totally a need of exercises and good food. There is no medicine to improve the strength yet. RegardsJay In Chat Doctor.