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

### input:
I have suffered back pain for the past 10 years, I had surgery, but made no difference, I have had root blocks, epidurals and facet injection.  I now have severe back pain with tingling and spiky feeling from my sole of my foot to my knee, with back leg pain as well.

### output:

Hellowelcome to ChatDoctorthe pain in your back is due to DISC PROLAPSE although you haunt mentioned your MRI REPORTS and the pain which is going lower down in your leg is due to a condition called as SCIATICA...sciatic is a nerve which supplies lower limb and its compression or stretching is what that causes pain in the back side of thigh n in legs....I would like to warn you that TAKING TOO MUCH AND FREQUENT EPIDURAL INJECTIONS/ROOT BLOCKS CAN DETERIORATE YOUR CONDITION AND WILL CAUSE MORE HARM Than BENEFIT....injections and blocks are for temporary relief only and should be taken occasionally in situations of acute emergency like when you are scheduled for some unavoidable business trip or family function etc....the best way to go in your case will be to STRENGTHEN YOUR BACK MUSCLES BECAUSE It's THE CONSTANT MUSCLE SPASM WHICH IS THE MAIN CULPRIT FOR CAUSING CONTINUOUS SEVERE PAIN...STRENGTHENING THE BACK MUSCLES WILL PREVENT MUSCLE SPASMS AND IT WILL AUTOMATICALLY IN TURN KEEP U FREE FROM FREQUENT PAIN... For the strengthening of your lower back muscles you need to visit a PHYSIOTHERAPIST who will guide you and teach you which specific spinal exercises you should do, and then you include those exercise in your daily routine to have LONG TERM BENEFITS...off course having epidural injections is an EASY TO GET AND INSTANT SOLUTION FOR RELIEF FROM PAIN BUT ONLY FOR A SHORT TIME and DOING EXERCISES DAILY IS A SLOW AND TEDIOUS PROCESS BUT THE BENEFITS WILL BE FOR LOOKING TERM, i hope you got my point...remember that story we use to read in our primary school ?? " SLOW AND STEADY WINS THE RACE" !!!!regardsChatDoctor