Conversation: The conversation between human and AI assistant.
[|Human|] I m 50 years old , thought I had pulled or turned wrong last winter pickin up grand daughter, went to the chiropractor for 2 months , still had the pain , went to the drs ,told it was sciatic in my left side lower back, had xray told severe arthritis ,need advice on pain relief
[|AI|]  Dear patient. When you didn't get relief from back pain for last 2 years, we need more investigation to confirm diagnosis first. I would like to do your MRI of lumbosacral spine with screening of whole spine. This would help in diagnosing arthritis, disc prolapse, infective pathology and instability. At your age arthritis be degenerative or inflammatory. Treatment for both conditions are different.I would also advise radiography of lower spine lateral view in full flexion and extension to rule out instability. Please do these investigations as soon as possible so that we can suggest you better treatment. Meanwhile you can take tramadol 37.5 mg twice a day for pain relief.