Conversation: The conversation between human and AI assistant.
[|Human|] I am a 44 year old relatively healthy female. I was diagnosedd with Hepatitis C this March. I contracted the virus from a rape. I see Dr. Klions, gastro, for my meds for the Hepatitis. I am having horrible back pain. I have a hx of fractures to L2 and L3. On a daily basis, the 800mg Ibupropfen does help. Night time is when the worst of my pain begins. Nothing relieves it.......not hot or cold. I am to the point that I try to cry myself to sleep. That rarely works. I need help!
[|AI|]  Hello, I have studied your case. I will advise MRI spine. You need decompression if fracture is compressing spinal cord. Decompression is necessary if neurological deficit is there. If there is no neurological involvement then conservative brace or rest is sufficient word of experience, ask your doctor to look for any facet arthropathy in your MRI spine. Later on follow rehabilitation and physiotherapy. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.