Conversation: The conversation between human and AI assistant.
[|Human|] I suffer from Stenosis and Herniated and degenerative disc disease. I also was suffering with RLS. I have been on Lyrica for the Stenosis for about 2 1/2 yrs for the stenosis which helped and also took away the restless leg issues (which I didn t know would it would help with that and it helped me sleep better at night). I gained about 25lbs on lyrica though so my doctor decided to try out topiramate about 3 wks ago, but now I have severe pain in my right foot at the heal area and calves feel tight and twitchy. Also my arms have been buzzing and tingling constantly for several days. Sadly I do not think this new med is going to work but, can I take both of these meds or no. My main problem is I am inbetween health plans at the moment as I just went throught a dreaded divorce!
[|AI|]  Hello, I have studied your case. Due to compression of this nerve root there can be tingling numbness in your leg and pain associated with it leading to walking difficulty. Medication like methylcobalamine with neurotrophic like pregabalin will reduce pain so continue it ; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. MRI shows disc compressing on nerve root then surgical decompression is permanent solution. You can send your MRI films or report. So that I can help you better. 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. Take care.