<s>[INST] Have had 2 cortisone injections since August last year, and now the pain has recurred. Am having trouble sleeping but am not too keen to have anymore injections. The injections worked beautifully but does not last. Have made an appointment at the doctors to see what other options I have. I work on a check-out and lift things manually. Am taking panadol osteo also for back pain. [/INST] Hello,Acetaminophen only gives relief of mild to moderate pain for short duration, severe low back pain needs treatment with baclofen(side effect-sedation) or pregabalin methcobalamin along with physiotherapy depending on mri findings. </s>