What is the treatment of this case?

A63 year old male pt.claims lower back pain last 2...3 years . radiating in both lower limbs he feel difficulty in long sitting.. hard work ..plz suggest the management

54 years male patient complains of pain and swelling in the right lower thumb. since 6 months he is a diabetic patient hba1c is 8.3 cbc is normal uric acid is increased a bit no other systemic disease he is a driver by occupation doppler reports are attached. he is a chronic smoker. there is change in colour at the thumb region compared to the normal side what cud be the provisional diagnosis

A 63 yrs woman having smarting pain with swelling of left foot on going allopathic medicine but partially relief, from 3 yrs < sitting > oil massage . From 6 months,sharp pain with loss of sensation seen on lateral side of right leg from knee joint to buttock 3 inches widely< early in the morning, standing from sitting position > lying on right side by hard pressure , walking , oil massage. Feltdown on left side before 1 month and pain seen on buttock to left heel and backache< act of sitting down and standing up alternately, weight lifting , backache > lying on back . F/H father died on brain stroke Mother died on paralysis of right side Mind calm, forgetful , mania for cleanliness . Thermal normal Sleep normal lying on rt side. Appetite normal eating slowly thirst low Craving for hot food fish , salty and fried foods , milk,bitter food, chillies food. Aversion to bread and sweet. Sweat normal Urine normal Stool scanty and knotty. Respected doctors please advise your best opinion on the case.

a60.yr old male with chronic low back pain 1.5yr on banding and walking relieved with lying down no Ho of sugar and hypertension morning stiffness negative sir n Xray for review

A 49 years male patient with back pain radiating to lower limb. tingling and numbness seen. patient is hypertensive. he had vitD3 deficiency for which he is taking supplements. please diagnose and suggest management..