Conversation: The conversation between human and AI assistant.
[|Human|] My fiance is complaining of some pretty bad back pain. He says it feels like the bones are rubbing together when he twists or turns. He also says he is afraid that if he turns so far he would get paralyzed because of how intense it feels. There is a pinch feeling as well. He was in a bad car accident 10+ years ago and is not sure if that would have anything to do with it or not. Any ideas on what this could be?
[|AI|]  Welcome to Chat Doctor .1. The pain you are describing looks like nerve compression, this happens when the disk which suppose to be between two vertebrae, slips / herniated backwards and indeed on the nerve.2. First you have to get an x-ray lumbar spine AP/LAT to see gross abnormality and bony pathology.3. After that get an MRI scan lumbar spine done, which will gives the condition of disc, nerve, and chord.4. Once reports are there one can decide weather needs any intervention / operation. Or may just need some exercise on daily basis.5. So, take an appointment with your GP and get the needful investigations done. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.