<s>[INST] hi............. sir one pt have lowerbace pain he has his x-ray reports which is normal. but one of the dr say that he have sitica but he dosen t have any sitica syptoms. or then he go through his cbc and urine test in this report his rdw is 16.2 and platelates is 0000. or in his urine test white pus cell occ and epithelial cell occ so sir what is the disease exactly or what is the problem his age is 35 year [/INST] Hi Final, Thanks for writing your query. After reading your post, it seems that he is having spasm of the muscles of the lower back. Is there any history of fall or injury? He can take painkiller like Ibuprofen one tablet twice a day after meals along with muscle relaxant Tizanidine 2 mg and antacid Omeprazole 20 mg to decrease the pain. Medicines should be taken under medical supervision only. Doing hot fomentation and application locally of pain relieving gel will also be beneficial. If the problem persists, he should get examined by an Orthopedic and get an MRI of lumbosacral region done. I hope this is helpful to you. Thanks. </s>