Conversation: The conversation between human and AI assistant.
[|Human|] Dear Sir . i am 38 years old . i am suffering with lower back pain . the treatment is going on. presently i am working in gulf. in the treatment time i feel good . but some time pain come sudden and the left leg start paining .last one an half year i am suffering . please advice me .
[|AI|]  Hello, Thanks for your query. After going through your symptoms, they are suggestive of sciatica along with low backache. The cause may be confirmed by physical examination, but most commonly it is due to slip disc that is prolapsed of intervertebral disc leading to nerve compression (pinched nerve). Other causes are sacroiliac joint dysfunction, piriformis syn Chat Doctor. As MRI of spine is the preferred investigation, I would urge you to visit a nearby doctor who can order this investigation. Until then my advice to you are:1. Bed rest, that is avoided unnecessary sitting and whenever possible take rest in lying down position.2. No massage at back, and you may take hot water fomentation to relax the muscle of back. 3. If the pain is severe, you should be started on pregabalin, muscle relaxants along with topical anti-inflammatory preparations. Oral/injectable form of vitamin B12 will also benefit you. Discuss with your treating doctor. 4. Physiotherapy also helps do hope that you have found something helpful, and I will be glad to answer any further query. Take care