Conversation: The conversation between human and AI assistant.
[|Human|] I am  a 61 year old female working in a professional field in the Midwest. I recently had injections for sacroilliitis that havent worked. I have a 10 year history of back pain include g a l4 l5 herniated disc and sciatica. Injections of kenalog and radio frequency nerve ablation worked well 5 years ago.  What can I do now?
[|AI|]  HiT hank you for asking ChatDoctorI have gone through your query. Usually sacroiliacs pain will improve after corticosteroid injections locally. If not improving then it is not your cause of pain. For Lumbar herniated disc and associated back pain I advise NSAIDs like diclofenac muscle relaxants like thiocolchicoside and neurotrophic Chat Doctor. Lumbar supporting belt is also helpful in many. I also send them for physiotherapy along with this. If there is no improvement or worsening of pain a surgical correction can be considered after an MRI of Lumbar spine. Hope this may help you. Let me know if you have any further query.