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

### input:
I am a 37yr old female with no relevant medical history. I pulled a bed rail up and felt a very sharp pain in my lower back. I ve had this pain for over a year and have since experienced referred pain in my hips. I take naproxen and cocodamol regularly but this isn t helping. I ve see a physiotherapist and an osteopath but my pain comes on after sitting or standing for as little as 10mins. I ve asked for an MRI scan but have been told by my doctor that this wouldn t help. What else can I do? What tests would I benefit from? I feel pain even at rest.

### output:

Hithank-you for providing the brief history of you. A thorough clinical examination is advised along with MRI of lumbar spine. As your symptoms guides towards the pinched nerve in the lumbar spine due to disc pathology, it could be anything like - protrusion, herniation, prolapse etc. The best treatment for disc pathology is to understand the MRI, the pathobiomechanics of the spine and the muscle strength available. As disc is a jelly like substance which takes its time to shrunk due to oxidation reaction and the pinching of the nerve can be relived. Also, the pathology of the disc occurs due to weakness of the muscles leading to reducing the size of the inter vertebral spaces. Usually in my clinical practice I take cases of disc injury for a 12 weeks program. Along with the thorough understanding of the muscular factor and the Neurological symptoms. Many of the patients I have seen till date have been better with physical therapy. None of them had a recurrence and none had undergone for surgery as well.Also, there is a practice line of action for treating this kind of injury. Step 1 - Rest + Chat Doctor.  Usually patients is restricted to step 1 & Step 2 only. Very rarely I have come across patients from Step 3 to Step 6. In case you need more information and assistance I will be happy to help you out with your injury. RegardsJay In