<s>[INST] hi, i have pain over my lower back for 7months, consulted many doctors. many medicines, lot of physio thereapy. but no full solution, for time being the pain is some released, but after full pain, now doctor recommeneded for surgery, it that correct or not, because my family members are saying not for surgery, but now the pain is heavy [/INST] Hello, Thanks for your query. After going through your query I came to know that  you are suffering from chronic backache. Rest in position of relief, Cartisafe D once daily, NUROKIND GOLD ONCE DAILY and analgesics (DICLOFENAC 100 MG SLOW RELEASE TABLETS) give relief. Sometimes vitamin D deficiency can aggravate  this so serum vitamin D test is advised if it is low than vitamin D supplementation will be required. Avoid  long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. You need to done MRI TO RULE OUT other causes. You can discuss with your treating Doctor about it. I do hope that you have found something helpful and I will be glad to answer any further query. Take care. </s>