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

### input:
My wife Supriya (60 ) is suffering from severe back pain which is coming down to her left leg down to toe. She is taking for last 5 days Fibrogesic, Cartigen 1500 and Bone K2 and UltraUT ,giving dry warm compress. Please guide. P.K.Dutta Mail YYYY@YYYY

### output:

Hi Mr. Outta, thanks for posting your concern in the Chat Doctor. The pain your wife has been having is a articular pain which radiates from the back. It may be due to lumbar spondylosis or degenerative lumbar disease or a prolapsed intervertebral disc in the lumbar region. It may also be due to sciatica. An MRI of the Lumbosacral spine can better elicit the underlying reason, and it may also guide the treatment management part. However, the medications she is having are correct. Fibrogenic would help in neuropathic or articular pain, whereas the other medicines would help in degenerative disease condition. However, till date there is no medicine for absolute cure for this problem. Fibrogenic does help, but to a limited extent, and also it takes some time to act. If the pain is severe, she should have bed rest. Traction is an old but very effective methods. Physiotherapy and local heat therapy are also effective, and they can also interrupt disease progression. After subsidence of pain, if possible ask your wife to avoid prolonged sitting, carrying heavy weight and advocate to continue with abdominal muscle strengthening exercise if possible. She may also need a lumbar brace. If the pain still remains intractable you should consult a spine surgeon with your MRI report. Surgical treatment may be needed at that point of time. For any further questions, please write back to me directly.