### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I ve had low back pain for about 6 months now, drs have checked all my organs and have found nothing wrong. I don t have any broken bone either. I ve been taking Ibufren 600 MG, cyclobenzprine and other medications like naproxen 550 mg and I don t even remember what else. Still have the problem. The pain is not as much anymore but I get like tingling sensation and the muscle still goes here and there then it touches my spine and then I feel like electrical shots coming and going. What else can I do? I ve read that this is supposed to last no more than 12 weeks and I already have 6 months and doesn t go away

### output:

Hi, thank-you for providing the brief history of you. A thorough neuromuscular assessment is advised. As by reading your history what I can understand is you have a bad backache which is chronic now. First I will advise taking an MRI of the spine as to understand the soft tissue status. Mentioning this is because you haven't mentioned in your history about this. As MRI of the lumbar spine plays a key role in understanding the status of the soft tissue. Also, on a later stage to talk further you were treated with symptomatic relief medicines, which will act to an extent. There need to undergo a physical therapy as well. As the physical therapy is a non-invasive by use of the therapeutic ultrasound therapy and TENS therapy for pain and inflammation. Also, the later stages will be to put you on exercises to strengthen the core muscles, spinal muscles, pelvic floor muscles and lower limbs as a whole. As the exercises are implemented as day to day basis the symptom of the pain subsides and later stages you can perform the exercises at home. In my clinical practice I have seen patients with similar complaints. After understanding the Neuromuscular assessment and MRI scan the physical therapy prescription is made to a single case to get the optimum results. By undergoing 12 weeks of proper physical therapy we are able to manage 99% of the strength. I recommend you the same. RegardsJay In Chat Doctor. 