Conversation: The conversation between human and AI assistant.
[|Human|] I have chronic back pain. aherniated disc(c3-l4 & l5) and facent joint lumbar pain tha facet pain is going to be burnt off on 8-29 9 A TRIAL OF 10HRS WAS DONE A MONTH AGO ) BUT NO ONE IS DOING ANYTHING ABOUT THE DISC PAIN. i know IT IS A HERNIATED DISC FROM READ THE RESULTS ON MY PORTAL & i HAD L4 REMOVED 20 YRS AGO. THE SYMPTOMS ARE THE THE SAME AS 20 YRS AGO.i HAVE A PRIMARY DOCTOR APPOINTMENT TODAY AND NEED TO KNOW WHAT TO SAY/DO TO GET THIS DISC ISSUE SOLVED. THEY ARE DOPING ME UP FOR THE PAIN BUT IT JUST MAKES ME TIRED,PAIN IS STILL THERE. PLEASE HELP!
[|AI|]  Hi, I had gone through your question and understand your concernsWith such presentations in my clinic, I would first reassure my patient telling him that the first line in treating disc herniation problems is conservative treatment then to wait for improvement of back pain and radiculopathy if present. If there's no improvement of the back pain and progressive increase of articular symptoms in spite of treatment, so we proceed to surgery. Conservative treatment for your problem include the following:1- Physical rest :Avoid heavy activities, prolonged standing, bending 2-Wear lumbosacral belt 3-Receive Muscle relaxant once daily, NSAID when needed and pregabalin 150 mg once daily before sleep.