Conversation: The conversation between human and AI assistant.
[|Human|] I take 50mg tramadol hcl pain pills for severe lower back pain. I take 2 pills 4 times a day for about 2 years. they are not working anymore. they did at one time. do they have stronger strengths available and/or something else that is stronger that I can talk to my doctor about. please help. John Krassnodemski
[|AI|]  Thank you for the question. Two years is a long time to be on continuous medication, instead, I would suggest you get MRI of spine and supportive tests after consultation with a spine specialist to know the cause and go for radical treatment if some pathology is detected. Alternatiely try to seek a help from physical therapist for measureslike diathermy, massage, exercises. Avoid bending and lifting objects. There is an ayurvedic oil for massage of lower back by the name of Kate Bast which is applied for 30 minutes after warming it up. It gives a good symptomatic relief