Hi dp - I do take gabapentin for the nerve damage in both legs (left is worse) - and it does help - not 100% but boy I can tell a difference if I forget to take a dose -
You do start out with a small dosage and then increase it over a couple weeks and may months time period - I started out at 300mg a day - now I'm taking the max dosage 3600mg - when you first start taking it it tends to make u very sleepy but this stables off and you don't notice it -
this medication has lots of uses - from treating pains caused by shingles, seizures to the nerve impulses and also the neuro scepters in the brain that trigger the pain path -
I have spoke with a few people that take gabapentin only for back pain and a couple had good outcome while others did not - so it's kinda a trial and error with everyone -
as for the treatment plan, this does seem to be in line - as most doc's will try to treat the bulging discs with shots - if that does not help then it would be proper to move to the next part which is the arthritis - it's possible that the type of treatments may include an anti-inflammatory med mixed with some other type (usually called a 'cocktail') - this will hopefully try to reduce the swelling around the arthritis area. And I'm sure there are other treatment options that they will try -
I would, however, ask if he could prescribe something for you especially during the time period where it could hurt real bad -
A year after my surgery I was in between doc's and ran out of my gabapentin - I had pain pills but I did notice an increase in my pains - so the gabapentin did help a little just not that much -
and remember everyone is different and reacts differently to meds and treatments - also, during the treatments if something doesn't make since be sure to ask and keep asking til you completely understand.
it sounds like you do have a good spine doc - and I hope and pray the treatments benefit you.
Keep us posted - take care - ^Joy^