Conversation: The conversation between human and AI assistant.
[|Human|] I have degenerative disk disease, torn disk at l4-l5, central canal stenosis at L5-S1 with schmorls node, moderate facet arthropathy and stress fractures. I have been told by a specialist that surgery in my condition can only cure eventual nerve-related pain or pressure in my legs, but that no surgery would be effective on my crushing lower back pain. I have tried tramadol, ibuprofen, gabapentin, amytriptyline, and lidoderm patches as well as over the counter products. So far the things that work best are lidoderm patches, heating pad, and menthol pain relief gel. My question is are there any other prescription medications that I could try? All of the things that help reduce my pain cannot be worn while attempting to work and I must remain stationary or resting. I have filed for disability due to the pain that I have had since 2006 that at times leaves me unable to walk more than 10 feet at a time. If the disability falls through then I need to find a way to return to work but there is not much potential in that considering my current pain levels. The specialist also said that steroid shots (epidural) were 50/50 and carried risky side-effects. What options do pain clinics have in this situation? Thank you for your time.
[|AI|]  Hi, thanks for writing to Chat Doctor. It seems from the description that you are concerned much about your back pain. Any Analgesic medication taken over prolonged periods tend to produce certain adverse reactions in the body, out of which, Renal damage (kidney problems) is concerning. So, I suggest you to go for RADIO FREQUENCY ABLATION which is quite helpful in alleviating the pain in chronic lower back disorders. The degree of pain relief varies, depending on the cause and location of the pain. Pain relief from RFA can last from six to 12 months and in some cases, relief can last for years. More than 70% of patients treated with RFA experience pain relief.  So, its worth a try. Hope this information is helpful. Good day