It is very common for this discomfort to persist for a few weeks to several months as your nerves heal. Your medications, Ultracet (tramadol and acetaminophen) and Nervijen P (pregabalin and methylcobalamin), are excellent choices to help manage this pain and support nerve recovery. Since nerve healing is a gradual process, you should see steady improvement over the next few weeks. Please continue taking your medications as prescribed by your doctor, and let them know if the pain remains severe.

Since your supplements (containing methylcobalamin, levocarnitine, and pregabalin) provide limited relief, we should investigate the root cause of your fatigue. Sometimes, medications containing pregabalin can actually contribute to drowsiness.\n\nI recommend undergoing these key diagnostic tests:\n1. Complete Blood Count (CBC) to check for anemia\n2. Thyroid Stimulating Hormone (TSH) to rule out thyroid issues\n3. Vitamin B12 and Vitamin D3 levels\n4. HbA1c to screen for diabetes\n\nHighly effective, low-cost generic alternatives like generic Vitamin B-complex, Vitamin D3, or Iron supplements can be started once a specific deficiency is identified. Please consult your doctor to safely transition from your current medications.

Your uric acid level of 4.6 is perfectly normal, which is highly reassuring. However, your Vitamin D level of 10 indicates a severe deficiency, which can directly cause bone and joint pain. To correct this, your doctor will likely prescribe a high-dose Vitamin D3 (cholecalciferol) supplement, commonly 60,000 IU weekly for 8 weeks, along with daily calcium. For knee pain relief, temporary use of paracetamol or ibuprofen can help. Please consult your physician for a physical knee examination and a tailored prescription to safely restore your nutrient levels and improve joint health.

While Nervijen and Neurobion Forte both support nerve health, they are not identical. Neurobion Forte contains a blend of essential B vitamins (like B1, B6, and B12). Nervijen typically contains these along with additional ingredients like methylcobalamin (an active form of B12) and alpha-lipoic acid for targeted nerve protection. Taking Neurobion Forte for a month is generally very safe, as B vitamins are water-soluble and excess is safely washed out. However, because Nervijen has a specialized formula tailored for her needs, it is best to consult her doctor and transition back to her prescribed medication.

Yes, Nervijen Plus injection is indeed used to treat low vitamin B12 levels. This injection contains methylcobalamin, which is an active form of vitamin B12, along with other essential B-vitamins like pyridoxine and nicotinamide. It helps to efficiently replenish your body's vitamin levels, support healthy nerve function, and assist in red blood cell production. It is a very effective and safe option when prescribed by your doctor. Please ensure that you receive this injection under the supervision of a healthcare professional. If you have any more questions about your health.

Since pregabalin and etoricoxib haven't provided relief after three months, the recommended next step is to obtain an MRI of your lumbar spine to see exactly what is pressing on your nerves. For alternative treatments, we can consider targeted epidural corticosteroid injections to reduce inflammation directly at the nerve root, or advanced physical therapy. I also recommend consulting a spine specialist to discuss these options and see if a surgical consultation is appropriate.