Hi Jenatsky,

how are you?

Thank you for your reply.

My normal medication comprises of:

Amitriptyline 10mg
Pregabalin 75mg
Diclofenac 50mg
Targin 10mg/5mg
Clonidine 50mcg

I take this at dinner time around 7PM.

Sometimes the medication doesn't manage the pain because I have several nerves pressure and when I called the ambulance the other day they suggested to take another 75mg of Pregabalin and 1 50mg Tapentadol. Not sure if all these meds caused side effects. To me it looks like a lot.
Jenatsky what meds do you take?

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This is my cervical MRI report which doesn't look good:

Findings:
Approximately 2mm retrolisthesis of C4 on C5 and 1.5mm retrolisthesis of the C5 on C6vertebral body noted.
Multilevel loss of intervertebral disc space height in keeping with moderate-marked degenerative disc disease.The craniocervical junction appears within normal limits.
C2/3: No significant posterior disc protrusion, spinal canal or neural foraminal narrowing.
C3/4: Discophytic lipping associated with minor spinal canal and moderate right neural foraminal narrowing with contact of the exiting right C4 nerve root. Mild left neural foraminal narrowing without appreciable contact of the exiting left C4 nerve root noted.
C4/5: Pseudo disc protrusion along with discophytic lipping associated with moderate left and mild right neural foraminal narrowing contacting the exiting left and impinging the exiting right C5 nerve root.
C5/6: Spondylolisthesis and uncovering of the intervertebral disc in conjunction with discophytic lipping associated with mild spinal canal narrowing along with moderate left neural foraminal narrowing seen impinging the exiting left C6 nerve root. Mild right neural foraminal narrowing contacting the exiting right C6 nerve root also noted.
C6/7: Uncovertebral osteophytosis with associated moderate bilateral neural foraminal narrowing contacting the exiting C7 nerve roots. No significant spinal canal narrowing.
C7/T1: Discophytic lipping associated with minor spinal canal narrowing along with mild bilateral neural foraminal narrowing contacting the exiting C8 nerve roots.
Conclusion: There is minor multilevel grade 1 spondylolisthesis along with spondylotic change characterised by moderate-marked multilevel degenerative disc disease.
There is discophytic lipping and pseudo disc protrusion associated with spinal canal and neural foraminal narrowing at a number of levels as above.
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It worked 2 days ago but not last night. Sometimes my gut takes longer to absorb the meds.

I have a psychologist but I can only get 1 session per month, not enough.

I tried mindfulness but when your pain levels are so extreme it is very hard to do because the pain is overwhelming.

Alfred