Conversation: The conversation between human and AI assistant.
[|Human|] i have moderate to severe pain in my lower right back - just to the right of my spine at the top of my buttock. As the pain worsens, it radiates down the front of my right thigh. Ibuprofen isnt touching it. Diclofanac (150 mg twice a day) worked for a while, but has stopped being effective. Any suggestions?  THANK YOU!
[|AI|]  Dear patient you may be having articular pain due to nerve compression at the lower lumbar spine. If diclofenac and ibuprofen others are not working this needs to be investigated. First X-ray of the lumbosacral spine anteroposterior and lateral views should be done. MRI of the lumbosacral spine would also be required to confirm diagnosis. Meanwhile, take strict bed rest. Start tab moral 4 mg twice a day with tab regain x 75 mg one at bedtime. Avoid forward bending and weight lifting. If not relieved you need to consult orthopedic surgeon nearby your area with report.