<s>[INST] I have intense lower back pain non-stop and also have lupus, causing autoimmune hepatitis. I am 64 years old and have been coping with lupus under control more or less sense diagnosed in 2000. However, I tend to be in pain whether standing, sitting, or lying and it is now at a point that I need something stronger that Ibuprofen for the pain. It is difficult to do the most simple things without hurting. What do you advise? [/INST] Hi, Welcome to Chat Doctor forum.  It appears that you have some problem with your spine. May be prolapsed disc, or degenerated spine, or spondylosis etc. I advise you to consult an orthopedic surgeon for diagnosis and treatment. You may need to have M.R.I. for diagnosis.  I usually prescribe to my patient with such symptoms neurotrophic injections for 10 consecutive days, and then periodically, along with other medication.  Avoid taking potato, other tubers, tomato, egg, chicken, and seafoods, till the pains are completely cleared.  Wishing for a quick and complete recovery. Thank you. </s>