<s>[INST] hi, i nam a 50 yr. old man. i have suffered from chronic pain for years. i have had several surgeries, back, legs arm. the pain i suffer almost NEVER goes away, even with meds i don t get relief. overall on the pain scale of 1 to 10. i do not EVER get relief lower than 6/7. i do take quite strong meds. but i am at my wits end. i almost feel at times to get releif would come better in the form of a small piece of lead. i feel like i am being stereotyped as a pillhead, in simply trying to talk to doctors and tell them i get little to no relief at all. i just don t know what to do anymore [/INST] chronic back pain is now a days very common , diagnosis is imp to rule out other things avoid forward bending and lifting heavy weights get lumbar spine x Ray done and if needed go For MRI lumbosacral spine at the end Physio is too imp </s>