Conversation: The conversation between human and AI assistant.
[|Human|] My wife has had chronic lower back problems since 1991. She has been on strong pain meds from then until now. She is currently on 30mg of OXYCODONE MCL (1) tablet every (4) hours as needed for pain. Her pain specialist wants to try her on LEVORPHAROL. He has tried her on other meds in the past with little or no results. The OXYCODONE is no longer working as it used to in the beginning. What is your opinion of the new med compared to the OXYCODONE???
[|AI|]  HI, Thanks for asking. I understand your concern.  Your wife has severe back pain & is taking the lot of medicines for that In my view, the cause of the pain needs to be evaluated carefully with investigations & expert consultation & the specific treatment of cause would relieve her. The probable causes can be - Calcium / vitamin deficiency & osteoporosis.  - Pelvic inflammation, - arthritis of macro ilea joints, - Nerve root compression at spinal level due to inflammation degeneration of vertebrae/ inter vertebral disc can lead to such pain.  * You need consultation of orthopedic surgeon / gynecologist. MRI of the part would pinpoint the cause . This will follow specific treatment.  Till then, you can try. Taking rest/ applying muscle relaxants locally(no massage please)/ pain medicines over the counter/ avoiding bending or weight lifting while you can get appointment of a doctor, Thanks.