<s>[INST] Hello Doctor, I have severe back pain since last more than 6 months. I had 2 ceasereans. I have two kids. One 8 yrs old and one 1 yr old. My last C-Section was done on 5th feb, 2011. The place where they give the injection in the spine, that full area (horizontal) has severe pain. I cannot change my side while I sleep by early morning or sometimes cannot stand immediately after I wake up. Please recommend remedy. I am 37yrs old. thanks and regards, Lina [/INST] Hi Lina, Thanks for writing in. It is unlikely that the pain you are experiencing is due to the epidural anesthesia that you would have received during cesarean section. I would suggest the following:a. Start exercising. You need to be walking for 50 minutes daily for 5 days a week. Lose excessive weight through a combination of diet and exercise. Avoid forward bending and picking up heavy weighted. An MRI of the back (particularly the lumbosacral region) would be needed to rule out a process which is impinging on a nerve.  I would suggest you see an orthopedic surgeon at the earliest. This would be needed for a detailed examination and proper treatment. Hope this helps. </s>