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Hi. I am Dr Abid.Welcome to Just Answer and thank you for the question.I'm reviewing your question now and will post back with your reply.
Have you had your MRI Lumbo saccral spine ?
Have you been diagnosed with pinched nerve ?
Pain is basically because of Pinched nerve , secondary to spinal stenosis , Herniated disc and you are not candidate for surgery mean you have multiple discs involved , thats why kept on conservative management .
You shouls start Tab Pregabalin a nerve pain killer which is not opioid 300 mg twice a day and increas up to 2400 mg /day .
This will help you out to control pain .
Physiotherapy will help you out .
Inject-able Diclofenec sodium twice a day for 5 days will help you out .
Injecatable Vitamin B 12 will help to regenerate neurons .
Good luck .
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