Conversation: The conversation between human and AI assistant.
[|Human|] My husband is in coumadin because of artificial valve in his heart. Heis also taking pain pill because ofhis back and joint pain. Is benefles good for him to alleviate the suffering from his back thus improve the way he walks. He can t walk more than 500feet without experiencingn excruciating pain. Help!
[|AI|]  Dear patient What I'd your husband s age? Considering the history there are two possibilities 1. Disc prolapse with nerve root compression 2. Lumbar canal stenosis. If he is more than 45 year likelihood of 2nd diagnosis increases. I would advise radiograph of lumbosacral spine anteroposterior and lateral views to rule out bony abnormalities.  I also recommend MRI of lumbosacral spine with screening of whole spine. MRI would correctly lead to diagnosis and help in planning treatment.  Start taking diclofenac plus thiocolchicoside combination twice a day for 10 days along with tab vitamin B12 plus pregabalin 75 mg at bedtime for symptoms relief. If report is abnormal take a visit to spine specialist.