Conversation: The conversation between human and AI assistant.
[|Human|] I have lower back pain that has gradually gotten worse over time. doing household chores, walking, going up and down stairs. I also have had muscle spasms. Saw my ob/gyn no problem there. Went to physical therapy , relieved pain for a minute. Still continue to do exercises they recommend but pain is still there. Insurance wont pay for MRI . Is there anything else I can do?
[|AI|]  Hi I am Chat Doctor. .  In my opinion I recommend physiotherapy with a chiropractor, spinal straightening exercises, maintaining good sleeping and sitting postures, avoid overweight, heavy lifting, vigorous movements will be effective in most of the cases.  You may use painkillers like Advil tabs when needed, hot massages with topical gels, B12 vitamin supplementation, muscle relaxants and in sometimes steroid pills or injections are prescribed for some patients.  If pain persists you have to follow up with your neurosurgeon and MRI will show if you have any spinal injuries or disc herniation for proper evaluation and management. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask.