Conversation: The conversation between human and AI assistant.
[|Human|] Sir I have a long history of chronic lumbar back pain, D.D.D., Stenosis this morning on my lower left side just above caudal equi area i am having horrific pain I take morphine sulf. 200 mg 2x daily and are having no effect I am 2 hours any from my primary and have tried heating pad ice nothing is helping????
[|AI|]  Hi, Since your pain is not relieved by strong analgesics possible cause may be 1. Mechanical backache and 2. Instability.  Detailed investigation in form of 1. X-ray of lumbosacral spine anteroposterior and lateral views and 2. MRI of the lumbosacral spine with screening of whole spine needs to be done. Please get it done from radiology center nearby you. Meanwhile, start tab. Attract.  Visit to orthopedic surgeon for detailed clinical Examination is recommended.  Hope I have answered your query. Let me know if I can assist you further.