Conversation: The conversation between human and AI assistant.
[|Human|] I have had chronic lower back pain for about 3 years , I have been going to a pain clinic and taking medication to try to ease the pain which is getting worse . X rays showed partial sacralisation of the L5 and MRI showed wear n tear of the facet joints has caused osteo arthritis . It also showed a grapefruit sized cyst on my overy, both had to be removed urgently ..The pain now feels like I m winded and bloated in my lower back and is agony . I went to dr s again last week and was just given more pills . The MRI was in 2011 but I know the pain has got a lot worse since then . Any ideas ?
[|AI|]  Wearing lumbosacral belt during activity time in day is indicated coupled with spinal exercises, avoiding bending or lifting weighty things, hot fomentation and pills as prescribed. If pain remains unbearable interfering daily routine, spinal fusion, removal of osteophytes near facet joints, laminectomy through minimal invasive(laparoscopic)spine surgery may help.in the meantime have patience, bear on symptoms, follow protocols of treatment enumerated and observe the pain . Take mild muscle relaxants in the mornings and mild sedatives at bedtime. Use firm mattress and take up sleeping posture which is most comfortable, probably mild flexed knees and mid prone position or whichever affords maximum relief