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

### input:
a little over a yea ago I stared a new job which had me standing in the same place for hourd.  Ihave always worked on my feet but never without moving.  My back when into the worst back spam anyone could ever imagine and I ended up at te ER.  Several days ater it did the same ting but by this time the spasms were covering my whole body. After 2 MRI and every test imginable I got no anwers.  Now I live on pain meds. I am a 60 year old woman of 125lbs and take12, 10miligram methodone dailey and 4.5 1milg oxicodne a day and I still hae modeate pain. he only way I can work is to take this stuff and since I am a alone have no one but me to count on. Is there anythng I can do besides this?

### output:

Hello, Thanks for your query. The low backache is a result of muscle spasm which in itself is a protective mechanism body develops so that the back avoids abnormal posture. For pain to go, it takes not only rest (on a comfortable bed) but also avoidance of particular positions (during work, rest or recreation). Avoid sleeping on sides and stomach in case you do. While on work don't sit in one position for more than an hour and take frequent stretch breaks. Do not bend forward to lift things up, bend the knees and hips for that. Also discontinue any strenuous activity or exercises for some time. You might need to consult your orthopaedician for a detailed physical examination and appropriate investigations. It might help with few medications and physiotherapy for a few days. Physiotherapy particularly lumbar traction for a week and back strengthening exercises after pain relief work well. Remember that medicines usually don't play a role in long term treatment, what does are exercises. Few exercises that the therapist will teach you must be done for lifetime. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care