<s>[INST] i have been suffering chronic neck back pain for over a year now with no out come.i have seen drs.but just turn me away, i also have siatica.my own dr is brilliant.he even doesnt know why .i havent had treatment.so where do i get treatment from.i feel let down .my pain is 24/7.chronic pain. [/INST] Hello, I had gone through the case and found that you must go for MRI to know the exact cause of pain. Also do vitamin D3 and Vitamin B12 blood test. It might be cervical and lumbosacral spondylitis.Meanwhile, take mild painkiller and apply muscle relaxant gel. After diagnosis go for physiotherapy, it will help to subside the pain. If vitamin D3 and Vitamin B12 deficient then take Vitamin D3 once a week and meganeuron OD once a day. Hope my answer will be effective for you. Thanks </s>