Conversation: The conversation between human and AI assistant.
[|Human|] I have been having sever lower back pain the last few years. I do have discs that are misaligned and bone spurs and arthritis. I have had 2 epidural cortisone shots, but only get relief for a few weeks. I have read Pravastin can cause back pain and I have been taking it about the same amount of time. Could that be the source of the pain?
[|AI|]  Dear patient you have got degenerative disc disease which can lead to back pain. Also, pravastatin has side effect of muscle pain which may be read in for back pain. You have taken two epidural corticosteroids before. Why it was given? I would like to see you MRI report if done. If it is showing significant disc bulging with bony spur formation and arthritis and not relieved with epidural steroids surgical intervention may be needed. Please send your MRI report. Thanks.