<s>[INST] My son has had a bad back for several years. He had surgery on his neck & that is better but it is his lower back causing him pain. He has been used to taking many kinds of opiates in the past Thank you Darlene [/INST] Hello, I have studied your case.previous surgery can lead to increased back painWhen such patient comes to my hospital we usually take  MRI to see for any nerve compression.Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor.Some exercises which can be done after pain has reduced include- Spine extension exercises, Lying on your stomach flat lift leg 6 inches from ground, do it for other leg.Now lift both hand and leg simultaneously, 6 inch off the ground and stayPosition for around 10 breathes. Core stabilizing spine exercises will help.You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case.I will advise to check your vit B12 and vit D3 level.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care. </s>