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

### input:
My husband is 30 years old and has had back pain for 10 weeks now, which started in his upper back and made its way round the top half of his body including his arm now it is in the lower bk He has been to gp 3 times first of all they told him he had tennis elbow, then, just a bad bk now they saying trapped nerve. its starting to effect his everyday life now and his relasionship with me and his 2 children as he is constantly grumpy which i understand as he says its getting him down now going to sleep and waking up in pain he has tried what the doctors say painkillers 4 times a day propping himself up when he sleeps nothing is working on some occasions where there is pain his skin feels hot to touch and he sometimes gets a rash on his hips. he has taken tramadol which does ease it a little but he cant take it during the day as just 1 makes him sleepy and he works tried looking on web but there are so many things it could be that it just makes me more worried when reading them and to be honest our gps dont really seem to care 3 different doctors 3 different diagnoses we are desprate for some help

### output:

HiT hank you for asking ChatDoctorI have gone through your query.  Your problem can be due to injury to intervertebral disc or osteocyte Chat Doctor.  This can cause a pinched nerve and continuous irritation and pain. A physical examination with an orthopedic is necessary to get clue for this and an X-ray followed by MRI of lumbosacral spine might be required to confirm it. For such cases i advice NSAIDs like diclofenac muscle relaxants like cyclobenzaprine and neurotrophic 