Conversation: The conversation between human and AI assistant.
[|Human|] I am otherways healthy with fair clinical reports age 40, 75 kGand 5 ft 9 inchave alow back pain due to L4 l5 ISSUEStried Dyclofenac dosent work its acute last 2 days, pls suggest which is better, Acy+paracetamol orAcy+tramodolits for immediete use, pain is troubling me
[|AI|]  Hello, Thanks for your query. The description suggests that you have lumbar disc disease. The initial management for this problem is conservative by following means : - Bed rest - analgesics and occasional muscle relaxants - Methylcobalamine preparations which helps to alleviate your "pins & needles" sensations - lumbar back support while sitting for longer periods - intermittent pelvic traction If you don't get any relief within 3 weeks, you need an orthosurgeons consultation to decide upon the need for surgical intervention. Hope this helps do hope that you have found something helpful, and I will be glad to answer any further query. Take care