<s>[INST] I m a patient of fybromyalgia.so i have terribly suffered from back pain with pain of whole body.my doctor suggested me to a medicine named Modipran25mg.and also some exercise but my condition is unchanged till now.so,what should i do?i m from Bangladesh. [/INST] Dear patient What is your age and what's the duration of back pain? If its chronic pain you need to be investigated.  First is X-ray of lumbosacral spine anteroposterior and lateral views. It gives details of bony abnormalities. Then if its normal MRI of lumbosacral spine with screening of whole spine is advised. It gives detail information of disc , nerves, and nerve roots. So visit radiology center nearby you and get this both tests done. If report comes normal do not worry and start tab diclofenac plus thiocolchicoside combination twice a day for pain relief.  Take tab Madison d3 60k once a week for 4 weeks.  Include calcium rich foods in diet.  If report is abnormal consult expert orthopedic surgeon and get yourself examined. </s>