Conversation: The conversation between human and AI assistant.
[|Human|] hi,i am a twenty three year old male sufering from lower back pain.i recall the problem starting after i was tuckled during a rugby game in the year 2002.i was again tackled in 2004 after which i quit the sort.the pain seems to come and go randomly after 2-3months or so, the only treatment i recieved was a few painkillers by a nurse during the injury days.i live in a developing country where such injuries are not given as much attention to satisfy the patient. should i be worried???i was planning on making a 2500km trip to South Africa to see a doctor but was afraid it might not be worth the cost.Also, i tend to have these spasms of pain in the lowerer back around the same time as i catch a cold.
[|AI|]  Dear patient You have got chronic back pain with past history of injury which needs to be investigated.  At in your age back pain is not common. Conditions may be 1. Mechanical back pain with instability 2. Disc prolapse.  I would advise 1. X-ray of lumbosacral spine anteroposterior and lateral views 2. MRI of lumbosacral spine with screening of whole spine. X-ray gives detail of bony abnormalities and MRI gives detail of discs and nerves, so both investigation are must. Visit radiology center nearby you and get it done.  Visit expert spine surgeon with report. Back pain should not be taken lightly and neglecting health is not good idea. So take care.