Conversation: The conversation between human and AI assistant.
[|Human|] a month ago, i had a majour pain in my lower back ....i consulted a physician ...but i had no progress...then i consultd an ortho..he said tht its a muscle spasm n asked me to take signoflam for 5 days ...but still no progress...then i went for physiotherapy ...even the physiotherapist said its a muscle spasm and i had taken 5 sittings but still theres no sign of progress....can u guide me whom to consult now...n no x ray of my back has been done yet
[|AI|]  Dear patient Since your back pain is not relieved with medication and physiotherapy you need to be investigated with X-ray of lumbosacral spine anteroposterior and lateral views to rule out bony abnormalities.  There might be instability or minor fracture.  Also, I would like to advise MRI of lumbosacral spine with screening of whole spine. MRI gives detail of not only intervertebral disc but also nerve roots and even bone. So visit radiology center nearby you and get it done.  Visit expert spine surgeon with report.