Conversation: The conversation between human and AI assistant.
[|Human|] I have disc protrusion and impingement of sciatic nerve for 10 months. I have tried lyrica, tramadol 2x anti inflammatory drugs, injection (steroid) and endone with no relief. Pain is so bad I cannot bear to stand and I need some pain relief before i go crazy.
[|AI|]  Hi, You are having sciatic nerve radiculopathy which causes pain of burning type along distribution below the level of compression associated with tingling and numbness. You don't get relieved from oral analgesic at these stage you should take fentanyl analgesic patch to control your pain. But if the pain persists despite treatment then operative decompression should be thought.  So in my opinion visit pain clinic to get patch under their guidance for symptomatic management or orthopedic clinic for definitive management.