Conversation: The conversation between human and AI assistant.
[|Human|] hi my name is jenny i have acute sciatic in my lower back and in my right leg shooting pain down my right leg and numbness and pins and needles in my toes . iam on pain killers for the last 4 days and no improvment and sleeping is impossible as i am in so much pain and have heat patches on my lower back .is their anything you can recomand to stop the pain as i dont think i can put up with it much longer  . do you know how long this  pain will go on for . is a MRI scan a necessery
[|AI|]  Welcome to Chat Doctor. It would be prudent to get an MRI scan imaging of the lumbosacral spine which will reveal any compression of spinal nerve roots or stenosis which may be causing the symptoms. We have been using Pregabalin or gabapentin in neurogenic pain along with strong analgesics like tramadol. In some cases oral steroids have reduced the edema of the inflamed area of the nerve leading to significant pain relief. You need to see a good neurosurgeon/Orthopaedician who can examine and investigate you and guide you further.