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

### input:
i have a problem with my lower back. i went to the dr demanding a mri they denied ,and i had an xray that only showed muscle spasms. its getting to the point where nothing is working the pain is so bad. they said i have siatica , i have a really really bad 10+ pain in my right side butt cheek close to my hip a muscle spasm , they gave me muscle relaxers 750 mlg, those litcane patches, anti anflammatories , physical therapy, i even went to a chropractor that helped but i had to pay , now they are referring me back to one with my insurance. what can i do in the mean time to help my pain i cant sit or walk without me crying it hurts so bad.........please help me!!!!!!

### output:

Hello, Welcome, and thanks for sharing your concern I went through your query, and I feel, the first thing you need is assurance and not an MRI. The usual indication of an MRI is shooting pain in the leg, and that is also what occurs in sciatica. Look for yourself1 Is the pain only in back or radiates to one of the limbs.2 Is there any numbness in the leg, or any numbness arising after walking, and what is the distance at which numbness occurs3 Do you have any back stiffness when you get up in the morning.4 Besides painkillers, what affects your pain the most, is there any position in which you feel more relief than other5 Do you have mild grade fever, or weight loss in recent days. If your answer to more than 2 questions is yes than you need an investigation and a proper assessment. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks.