Conversation: The conversation between human and AI assistant.
[|Human|] I have severe low back pain since 1992, I ve been given pain medications, I continuously exercising nothing seems to help the pain. I cannot stand for no more than 5 minutes when washing the dishes, I had an exray 2010, the results were Mild anterior degenerative lipping at L1 through L4 levels. I am tied taking medications and nothing is working, what can I do?
[|AI|]  Hi there. Chronic analgesic intake is hardly a solution for degenerative diseases of the spine. it's a temporary solution which has many associated effects of kidney damage and gastrointestinal ulceration. Imagine this process to be due to natural wear and tear of the body. The anterior lipping of vertebrae is a feature of the same. Lifestyle modification and physiotherapy are the two main modalities of the treatment that can offload your spine and reduce the degenerative process. Weight loss also plays a very important role. Reduce lifting heavy weights and bending down and working for long periods of time. Do some back exercises to help off load the anterior vertebrae. Topical creams over the lower back may be of help.