Conversation: The conversation between human and AI assistant.
[|Human|] hello, I am a 44 year old mechanic with chronic back/knee pains. I have a narrowing in the L4/L5 area and, sciatic problems there also. I have been taking 10/325 Norco on and off for many years now(under supervision). My problem is that it does not seem to take away my back pain for very long anymore. Is there an extended release pain medication that would possibly work better??? I am assuming that my body is building a tolorance. Unfortunatly, I think i am dependant on the pain medication in order to continue my career. I am not up for any kind of back surgery at this time(no health insurance, and have watched mother go through 6 surgeries for the same thing, and she is still taking pain medication.) am I dependant, or am I a drug addict???
[|AI|]  Hello, I have studied your case. I will advise MRI spine to see for any nerve compression leading to back pain. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. If MRI shows disc compressing on nerve root then surgical decompression is permanent solution. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care.