Conversation: The conversation between human and AI assistant.
[|Human|] Hiam 28years and i have been having lower back pain on my spine for the last 6years  i have attended physio but there is no improvement and sometimes the part that i feel pain swells and thepain goes up to my shoulder which swells to .What is wrong with my back?
[|AI|]  Howell come to ChatDoctorMost of the backache happens because of the degenerative disease of the spine, and some time this may long last, and medical therapy would be option to get rid of pain, if you have not done the MRI study then it is necessary to get done the MRI test, keep continue the physiotherapy. Medication:- Tab Ibuprofen 400 mg three times in day, Tab Acetaminophen 500 mg three times in day, hope this information helps.