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

### input:
i have a chronic at the center of lower back pain above hip about 3 to 5 inches above the hips and on the left side in the stomach area that has tenderness from a long time.The pain becomes more clear particularly when i lie flat on the back but reduces when i am sitting or standing or when i am lying on the sides.I have had x ray done..nothing detected... The pain is not sharp but dull and contineous

### output:

Hellowelcome to ChatDoctorwell the location of your pain and the specific postures of the body in which you feel pain as described by you suggests that you might be suffering from a condition called as PIED i.e. prolapse inter-vertebral disc.there are protective cushions like structures present between the bones of our back, one disc is present between two vertebral bones i.e. one above the disc and one below and this arrangement is present throughout the spinal region of the back....the function of these discs is that they act as SHOCK ABSORBERS for the backbones and prevents injury/dislocation/fractures of the vertebral bones .... when due to any reason, like a trauma or fall from height on a flat surface, the protective discs herniates out from its normal position, it causes compression of the surrounding nerves and spasm of the surrounding muscles of the back which in turn leads to a feeling of pain and stiffness....there may be only one prolapsed disc or else multiple discs may also get prolapsed depending upon the severity of the underlying cause....first and foremost I would advise you to get an MRI OF LUMBOSACRAL SPINE to know number and extent of the prolapsed discs, after you get your MRI you should visit with your reports to an orthopedic, he will evaluate your report and clinical condition by performing a physical examination and will prescribe you the most appropriate treatment necessary and instructions I hope you will find the above information to be very helpful take careChatDoctor.