Gabapentin works for some people and not for others. Compression of a nerve or nerve root typically isn’t helped that much by medications unless the compression is relieved first. Medications can help ease pain but not numbness once the compression is relieved.
I have been on Gabapentin for sciatic/nerve issues and it's changed my quality of life. Had a spinal fusion @ Mayo Clinic back in 1982 and as of the past 5-6 years have had an issue with numbness, nerve pain down my right leg and into my foot (L4-L5) impingement. It no longer flairs up, since the Gabapentin Rx. I'm on 300mg/3 x/day and it's been a game changer. Best of luck to you. Mayo Clinic figured it out, was @ Cleveland Clinic and UPMC prior, but Mayo Clinic was worth the trip for sure.
I have been on Gabapentin for sciatic/nerve issues and it's changed my quality of life. Had a spinal fusion @ Mayo Clinic back in 1982 and as of the past 5-6 years have had an issue with numbness, nerve pain down my right leg and into my foot (L4-L5) impingement. It no longer flairs up, since the Gabapentin Rx. I'm on 300mg/3 x/day and it's been a game changer. Best of luck to you. Mayo Clinic figured it out, was @ Cleveland Clinic and UPMC prior, but Mayo Clinic was worth the trip for sure.
Numbness usually indicates a compression of a nerve.
Are you seeing your primary care physician or a board certified spine surgeon?
While the primary can order tests etc, given the numbness - your best option for proper diagnosis and treatment is to consult a spine surgeon.
They are uniquely qualified to look at the actual MRI images and see any nerve root impingement or compression, rather than just rely on the MRI report. Given it’s been ongoing and now you are experiencing different new symptoms, that would be my suggestion
That numbness sounds like sciatica. Which I've had! My doctor told me about stretches I needed to do which eventually released the involved nerve. Here's a link to some stretches to try. https://www.healthline.com/health/back-pain/sciatic-stretches I agree that pain management seems premature here.