Conversation: The conversation between human and AI assistant.
[|Human|] sever lower lumbar painIve had epidorals done radiofrecwenies to burn the nevers off severl times I take oxicodone 7.5 gabapeten diclofenac and tizanidine all for my back. I get something pinched  in it alot but today i was going to stand upright from leaning over and did something to the point im in extrem pain. I called 911 and before transport was given two doses of "phentatolin" a pain med to reduce the pain befor transport it did nothing. I was taken to the er where an x-ray was done and it showed nothin that way. while there i was given three doses of some pain med that starts with a "D" the Dr. said was the strongest pain med they had and it did absolutely nothing and they sent me out the door. Im still in the same condition I was in when i called 911. I need to know what could be wrong with my back,what might i have done?
[|AI|]  Hellowelcome to ChatDoctoryour symptoms are most probably due to development of PIED i.e. PROLAPSE INTER VERTEBRAL DISC in which a protective cushion called as intervertebral disc, bulges out from between the two vertebral bones which leads to compression of the spinal nerves and can also cause spasm of the surrounding muscles of the back region which in turn causes pain and stiffness in that region of back....to diagnose how many discs are involved you need to get an investigation called as MRI....if I were your treating doctor I would suggest the following - whenever the pain is very severe you can INJECTION THIOCOLCHICOSIDE INTRAMUSCULARLY two times a day for 3 days the most important modality to have long term relief from pain is STRENGTHENING YOUR BACK MUSCLES BY PHYSIOTHERAPY....any good physiotherapist can teach you the specific back/spinal exercises which you can then do at home regularly and include those exercises in your daily routine...remember, in the beginning you might feel lazy to do exercises but remember medicines can only provide short term relief and permanent relief can only be obtained by strengthening your back by exercising regularly take care Chat Doctor.