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.

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.

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.

It is very common to feel concerned about these symptoms, but please be reassured. While cyclic breast and back pain usually occurs before your period due to hormonal changes, post-period discomfort is often linked to musculoskeletal strain from poor posture. Vitamin D3 helps support your bone and muscle health, while Nervijen (a B-complex supplement) is excellent for nerve recovery and easing that 'pinched' sensation. These are very reasonable supportive treatments for your symptoms. However, because the stabbing pain is one-sided, I highly recommend a brief visit with your doctor to rule out any specific nerve compression and discuss if physical therapy could offer you lasting relief.

Since this medication, which contains pregabalin, hasn't provided relief, your doctor might consider other options. They may suggest alternative nerve pain medications like gabapentin, or add generic anti-inflammatories and muscle relaxants to reduce stiffness. Physical therapy is also highly effective for bulging and worn discs, helping to relieve pressure on your nerves through targeted exercises. Please consult your specialist to safely transition to a new treatment plan tailored to your recovery.

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.