Conversation: The conversation between human and AI assistant.
[|Human|] hello doctor i am physiotherapist, one of my patient having low back ache ,severe piles and fistula history previously, he had stent 5 yrs before , can interfential therapy is recommended, currently he is wearing lumbosacral belt, and spinal exs, help me sir
[|AI|]  If fistula and piles is still severe then you should not give IT. But if it already treated and piles is under control then you can give IT. Most important thing is you need to assess the patient thoroughly for the source of pain only then you can treat him well. Use all the special test for back pain. Take care of red flags. If piles and fistula still worse than first you should send the patient to concerning Surgeon for appropriate treatment. Because I some cases' fistula can also be source of back pain. Thank you