Conversation: The conversation between human and AI assistant.
[|Human|] I am a 21 year old female with sciatic pain on the left side and sever pain in my hips when doing anything, my dr has given me Gabapentin as I also suffer from hypertension and duplex kidney so I cant take aspirin and ibuprofen or anything like that she has also given me tramadol which I can only take as a very last resort if the pain inst settling, I have tried all of the usual heat treatments and nothing is settling the pain, I work with young children so I am always bending and running around and it does effect my back as well but even when I have time off the pain gets no better. Is there anything you can suggest that will stop this pain as its causing me to be depressed and effecting my relationships with friends and family as I am constantly in pain I am not in the best mood. I just want the pain to stop. Id appreciate any advise thank you.
[|AI|]  Uh, first thing on pain is diagnosis. True disk disease affecting nerves in the back is quite rare under age 30. And, having pain from other back structures such as the kidney and urinary tract is much more common in people who are known to have those abnormalities already. Finding the problem and fixing it would be the first thing. For a pinched nerve, any nerve medicine is likely to be quite helpful These include gabapentin, pregabalin, lidocaine, amitriptyline, and others.