Hi i am Dr Ahmed Aly thanks for using HealthcareMagic site , I had gone through your question and understand your concerns .. It could be a sort of sciatica due to nerve compression which may show your symptoms and also sometimes tingling or numbness is felt during low back pain and cause throbbing neuropathic pain . I hope you feel better soon , in my opinion medications alone would not help you that much , i recommend physiotherapy sessions , spinal straightening exercises , neck stretching exercises and hot massages is very helpful with most of the cases . For my patients i recommend painkillers ( NSAIDs ) like tylenol 400mg tabs when needed , gentle massaging with topical anti-inflammatory gels , muscle relaxants , B12 vitamin supplements , in more severe or chronic cases steroid tabs ( vicodeine ) or injections and anti epileptics like gabapentin are prescribed if required . You may try to avoid heavy lifting , over weighing , obesity , vigorous movements and bad sleeping or sitting postures will be helpful in most of cases If medical and physical medications failed for 6 consecutive month i recommend you undergo further investigations like X rays and MRI scans to exclude any spinal injuries or disc herniation and follow them up with your neurologist for proper evaluation and management . Nowadays minor invasive endoscopic interventions are highly developed and have had very good results but that depends on your general condition which i think from your given history and your age would not need further surgical interventions for spinal fixation with rods and plates if your spine condition requires . For now try to be patient avoid high salts and proteins meals and always allow high fluid intake to prevent dehydration will be fine for your condition Please click and consider a 5 star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask.