Thank you for always giving me a valuable advice. My back pain is somehow related to my legs. My both knees are constantly numb and now in pain all the time. Everyday walks becoming very tough. I had a multiple PT’s without any success. I tried massage- it was good while on the table but after I got home- not much difference. Brace helped for a couple of weeks. I am still wearing it on my short walks. Also I am using tens unit and often 5% Lidocaine patches. They help a little bit. I am trying to do some posture exercises and always in pain after. I cut Tramadol to 1-2 pills. They don’t help. I am looking forward to seeing my new bone health specialist next week. All I know that pain becoming more and more intense since I started Evenity. I would try Tymlos next if this new doctor advice and use your protocol starting lower dose and ramping it up. Not sure what awaits around the corner but life is as tough as it could be.