It sounds like your back and leg pain after the spinal tap and heavy house cleaning could be due to a few possible reasons.

🩺 Possible causes of back and leg pain after spinal tap

• The spinal tap (lumbar puncture) can sometimes cause nerve irritation or inflammation leading to pain.
• Heavy physical activity like house cleaning may have caused muscle strain or aggravated the area.
• Post-lumbar puncture headache or cerebrospinal fluid leak can also cause discomfort, though leg pain suggests possible nerve involvement.

💊 Evaluation of current medications

• Ultracet (Tramadol + Paracetamol) is suitable for moderate pain relief.
• Raberite (Levosulpiride + Rabeprazole) is not primarily for pain but may help with gastrointestinal protection.
• Amigaba (Gabapentin + Amitriptyline) is appropriate for nerve-related pain and migraine prevention.
• Overall, your medication regimen seems reasonable for managing pain and neuropathic symptoms, but effectiveness should be regularly reviewed by your doctor.

🏥 Recommendations on bed rest and activity

• Short-term rest may help if pain is severe, but prolonged bed rest is not advised as it can delay recovery.
• Gradual return to gentle activity and avoiding heavy lifting or strenuous tasks is better for healing.
• Use pain medications as prescribed and apply local heat or cold packs if helpful.

⚠️ When to seek medical attention

• If pain worsens significantly or becomes constant.
• Development of new neurological symptoms like numbness, weakness, or bladder/bowel issues.
• Signs of infection such as fever, redness, or swelling at the spinal tap site.
• Persistent severe headache or dizziness.

Please consult your neurologist or pain specialist promptly to evaluate your symptoms and adjust treatment if needed. If you experience any urgent symptoms, seek emergency care immediately.To narrow down potential causes, we will need some more information.To provide you with the best advice, could you please share your age and gender?