It is reassuring that her chest X-ray is normal. For severe spinal and radiating pain, doctors typically use a combination of medications. To manage general pain, acetaminophen is often the safest starting point for older adults. If the radiating pain is due to nerve irritation, nerve-specific medications like gabapentin or pregabalin are highly effective. Occasionally, short-term use of muscle relaxants or mild opioids like tramadol may be prescribed for severe pain. Since she is elderly, these medications must be carefully adjusted by her doctor to avoid side effects like drowsiness. I highly recommend consulting her physician for a personalised prescription and to confirm the exact source of her chest-radiating pain.