Conversation: The conversation between human and AI assistant.
[|Human|] Hi, My husband complaint about back pain for quite some time, Doctor said to loose weight. He needs to loose about 30 pounds. He is 55 years old and used to fly in Helicopters for over 10 years. He thinks the back pain stems from the rough landings at times. He is always in pain when he gets out of bed, so prolong laying down is a problem. This morning I noticed a 2 inch bruise (sort of round) on his lower back. ???? He had no injuries, didn t do any lifting or had any trauma.
[|AI|]  Chronic low back pain is bothersome problem although not always necessarily serious. And it has been seen that prolapsed intervertebral disc(slipped disc) is common in persons involved in operating vibrating machines. If patient has been flying helicopter ang if it involves coarse vibration then it may be the cause of low back pain. Physical examination and an MRI is required to diagnose confidently. Anyway, take intermittent rest(in occasion of extreme pain), take paracetamol 1 gm twice or thrice daily, give hot compression, and have some postural modifications. If he undergoes conservative management for 6 months and still the pain is not relieving then epidural injection or, surgery are options. For your kind information, the surgery is a pretty simple one and really give good result in expert hand. Keyhole surgery is also available but rather costly while giving similar result as conventional method.