<s>[INST] How do i know if i should get more help for my back I believe it s sciatica pain sharp pains running down both sides of my legs sometimes the tips of my toes are a bit numb all tingly. Taking anti inflammatories painkillers and cold packs at the moment. Im at the end of day 3 in bed. Only getting up if i have to. [/INST] Hello, It may be due to nerve compression at the lumbar spine.  For further assessment, you may require MRI back and nerve conduction studies after consultation. For pain, you can take tablet acetaminophen and multivitamin tablets.  You may require tablet Pregabalin after consultation. Do regular physical therapy. Avoid forward bending.  Hope I have answered your query. Let me know if I can assist you further.  Chat Doctor.  </s>