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

### input:
my husband has severe back pain on his right side it is so bad when he sits down he can hardly get up it is all the time at nite he is up and down the pain is so bad he has x-ray the dr. says its artritis but should he be in pain all the time,he takes tylonel like candy no relief,6 years ago he had triple by pass heart surgery,please help me for his sake.

### output:

Dear Madam, Greetings!! Thank you for posting your query at Chat Doctor.Tommy advice would be-1.  Hot water fermentation multiple time in a day.2. Avoid one posture for long time3. Sleep on firm mattress4. Keep your back straight, maintain all 3 natural curves in your spine5. Distribute your weight evenly on both hips6. Keep your head and neck aligned over your shoulders7. Sit back in your chair; your back should be supported by the seat back8. Adjust your chair height so that your hips are slightly higher than your knees9. Be sure your feet are supported by the floor or a footrestStrengthening exercises:Abdominal curl-with hip knee flex, lift the neckBridging exercise-hip knee flex and lift the pelvis isometric of back-hip knee flex, put a roll of towel under the low back and press against it. All the exercises to be done twice a day for 15 mins for hold count each positing for 10 counts. Muscle relaxant will help. If the pain is still not coming down I would suggest you get an MRI done to know extent of involvement in spine around region and consult an orthopedic doctor for further course of treatment. I wish a speedy recovery for your husband. If you require any further information please revert to me. I will be happy to assist you. With best wishes, Tehzib Sailed(PT)