Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I am suffering from PIVD in disc L4,L5 and S1. Pain is unbearable. I am suffering since Jan 2013 but pain subsided a bit than before.But it is still persistent and blocking many of my lower body movements. Please suggest some treatments and medicines.
[|AI|]  Hi, I am sorry you are still in so much pain. I would recommend a few things for you:1. Physical therapy: This I have found is often very helpful for patients like yourself to decrease pain and increase functioning on a day-to-day basis. This can include things like water therapy-exercises in a pool for those who cannot walk due to joint or muscle pain2. Pain specialist: You can consider seeing a pain specialist for close management and adjustment of medications. 3. Behavioral therapy: This is usually given by a psychologist- often chronic pain is associated with depression (from pain itself) and counseling and psychotherapy are helpful to decrease pain. The therapist can also refer you to a psychiatrist if they think you have symptoms of depression for medications. Please let me know if that was helpful. Thanks!