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

### input:
Hi my name is Jim. I ve suffered for over 3 years with lower back pain that is not disc related, at least according to two different neuros who looked at my MRI. Both say it s a combination of osteoarthritis and bone spurs, but that there s not a surgery that would significantly help. The last neuro suggested a spinal cord stimulator, but when I talked to my pain mgmt doc about it he didn t think it would help much. I ve had 4 rounds of differing injections including a nerve burn and an epidural last Monday. It hasn t done much in alleviating the pain, so I m stuck with pain meds that are increasingly ineffective. The pain doc said that s due to a combination of my body tolerating the pain meds and the condition worsening slightly. I know this is complicated, but I m really getting depressed with this; no surgery to help, scs won t do much says the pain doc... and now the pain meds aren t doing much. I ve gone through PT, spinal decompression to try to reduce my need for pain meds. I m trying EVERYTHING to stop taking so much pain med, but it s the only way, for now, I can work and carry on with my life, even though the quality of it has become greatly diminished. I joined here looking for anything; help, direction, advice.

### output:

Hello, Thanks for your query. After going through your query I came to know that you are suffering from chronic backache. It may be lumbar spondylosis. It can be confirmed by MRI of showing bone spurs. Back exercises, Diapering, glucosamine sulfate, neurotrophic such as methycobalamin and analgesics (DICLOFENAC 100 MG SLOW RELEASE TABLETS) give relief. Sometimes strong analgesic such as tramadol is needed. Sometimes vitamin D deficiency can aggravate this so serum vitamin D test is advised if it is lower than vitamin D supplementation will be required. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care.