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

### input:
Please sir/madam. I have suffered from chronic back pains since 1990. Cant place my hand on the cause but i have taken several treatments including acupuncture,all to no avail. Its so painful that sometimes, i cant even stand up from where i am sitting. Thank you sir. Paulo

### output:

Hi, I understand your concern regarding the backache. Since you have mentioned that you have as chronically suffered backache for about 26 years it has to be related with any defect in the spine with nerve compression or due to diabetic neuropathy or lack of nutrients like Calamine. This occurs mostly due to our lifestyle habits like usage of computers, watching a lot of TV, bending while reading.1) You can use analgesics like Paracetamol/Tylenol to relieve from pain.2) Do not use analgesics excessively. It is harmful to our body when in excess.3) You need to keep an erect straight posture of your back and neck.4) Do stretching exercises, when you wake up lie on your chest then using two hand lift yourself up, in an arc like position and then lie down slowly. Repeat his at least ten times daily. This will surely relieve back pain. You can watch online videos for such exercises.5) Take Tablet Neurons once daily, analgesics only if you have severe pain.6) If your problem aggravates you need to get yourself physically examined and investigated through radiological methods like X-ray followed by MRI only if suggested by an orthopedic. Since you have chronic pain, it is most probable that you have undertaken radiological examinations. So I request you to send your reports next time so that we can plan a better treatment method. Hope these suggestions help you. Contact for further follow up. Thanks with best regards,