Conversation: The conversation between human and AI assistant.
[|Human|] I feel doctors hide the truth from patients. I an seeing an "arthritis/rheumatism specialist who has referred me to a physio in his practice. Later I will see an exercise physiologist. I feel my pain is worsening, due probably to my work where I have to stand for 7-8 hours straight. I am 63. I have moderate arhritis in both knees, bursitis in my left hip and lower back pain. It just   feels like my body is breaking down constantly. The pain med Celebrex one per day was recommended. I feel it is no help. I am supplementing it with Ibuprofen and warm baths, which help to ease pain for an hour or so. Any suggestions?
[|AI|]  Hello, I have studied your case. I will advise MRI hip/spine to see for any nerve compression leading to back pain. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. If MRI shows disc compressing on nerve root then surgical decompression is permanent solution. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care.