<s>[INST] Myself Ramesh working as Asst prof. at private college. In the past few years i have low back pain then i consulted ortho specialist he diagnosed to take myoril 8 mg, ultracet, ethosine along with pantocid. but my backpain was not brought down later on he advised me to consult rheumatologist he initially diagnosed as spondylitis then after verifying with blood ESR report it won t. then he prescribed to take neugaba 75 mg along with pantocid.. still my back pain was not brought down but it was increasing day by day... Please do advise.. Thanks & regards, Ramesh.P. [/INST] Thanks for the query. Medicines are never a permanent solution to the back problem. First it needs to establish what is the problem? Is it muscle pain? Is it isogenic back pain or pain from the facet joints in spine? I would suggest getting an MRI to diagnose the problem. In case of severe pain we give short course of pain medicine with physio modalities. Once the pain level come down we gradually start back muscle stretching and exercise. In case of spondylitis regular exercise is the way to stay pain free. Thanks. </s>