For severe pain combining kidney stones and back issues, over-the-counter options often fall short. Doctors typically prescribe stronger anti-inflammatories like generic ketorolac or ibuprofen (if kidney function is normal), or muscle relaxants like cyclobenzaprine for spasms. For kidney stone pain specifically, alpha-blockers like tamsulosin can help pass the stone, and short-term prescription opioids like tramadol may be needed. Since your pain is severe and unrelieved, please see a doctor promptly. They can safely prescribe these stronger targeted medications, check your kidney function, and ensure there is no blockage or infection. Relief is absolutely possible, but it requires a professional medical evaluation.

For severe back and leg pain from a pinched nerve, over-the-counter anti-inflammatories like ibuprofen or naproxen can help reduce inflammation. Acetaminophen is also helpful for general pain relief. If these do not provide enough relief, your doctor may prescribe targeted options, such as nerve pain medications (like gabapentin) or muscle relaxants (like cyclobenzaprine). Applying warm or cold compresses to the area can also ease discomfort. Please consult a doctor for a personalised treatment plan, and seek immediate medical attention if you experience severe weakness, numbness, or loss of bowel or bladder control.

Your MRI findings show common, wear-and-tear changes at the C5-C6 level of your neck, which can irritate nearby nerves and cause shoulder pain. To manage this safely, several generic medications can help: 1. Pain and Inflammation: Nonsteroidal anti-inflammatory drugs (NSAIDs) like naproxen or ibuprofen. 2. Muscle Spasms: Muscle relaxants such as cyclobenzaprine. 3. Nerve Pain: For shooting pain or tingling, nerve-calming medications like gabapentin or pregabalin are highly effective. Please consult your doctor to determine the best prescription for your specific health profile. Combining these medications with targeted physical therapy often provides the most effective, long-term relief.