It is used to treat degenerative intervertebral disc disease that causes bulging of the disc, herniated disc, and facet osteoarthritis that compresses the nerve roots that form the sciatic nerve, which causes disabling pain in the lower back and may or may not go to the buttocks and limbs. Lower, causing significant disability for daily activities such as sleeping, working, walking, and recreation.

In the cervical region, it can present as neck pain radiating to the trapezius, interscapular region.
It can be accompanied by a feeling of numbness and cramps in the arms of the hands and weakness in fine movements of the hands.