<s>[INST] DEAR SIR, I WOULD LIKE TO ASK FOR HELP REGAING MY LOWER BACK PAIN. I HAVE A PAIN AT MY BACK AND ITS FEELS VERY HOT INSIDE. IT HAS GOING FOR FEW YEARS NOW. I HAVE DONE LOTS OF MEDATICAN BUT DOEST HELP. WHE I SLEEP I FEEL LIKE I AM SLEEPING ON FIRE. I AM 30 YEARS OLD AND JOB IS VERY EASY I DONT CARRY HEVY STUFFS.  I HEED YOUR HELP PLEASE THANKS [/INST] Welcome to Chat Doctor .1. Get a simple x-ray lumbar spine AP/LAT done to see if there is any gross abnormality, or where the problem lies.2. If necessary an MRI to see the condition of the disc, nerve, chord.3. For remedy, you try lying on a flat surface (avoid bumpy/pits mattress) and do the exercises recommended for back pain.4. If you try it on daily basis, you will be free of pain - keeping mind your age and job.5.Don't simply take medicine, first evaluate the cause. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. </s>