<s>[INST] Its been six years since I broke my back  L1 bursted lately I have been having more pain a mri is being done on Monday or maybe tlhis is just living with a broken back we will see on Monday. Is there a book out how to live with a broken back some days my pain is more severe. I dont know if I  am doing too much or is this part of it. [/INST] Hello, Thanks for your query. After going through your query I came to know that you are suffering from post dramatic chronic backache after L1 burst. Trust fracture occurred 6 years back, so it is unlikely to be directly related to it. It may be due to weakness of bone and muscles and vitamin and trace element deficiencies specially vitamin D and vitamin B 12. Back exercises, neurotrophic such as mecobalamine and analgesics (DICLOFENAC 100 MG SLOW RELEASE TABLETS) give relief. Sometimes vitamin D deficiency can aggravate this so serum vitamin D test is advised if it is lower than vitamin D supplementation will be required. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. You need to do MRI TO RULE OUT other causes. You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care. </s>