<s>[INST] hi I would like to know what I should to do I have really bad beck lower pain and I used only tylenol and some hit pads but still hurts I am take caring of paralise person spine cord ijnury C4 and C5 so  always I lifting her but  main essue is my work I m doing landscapeing  and I  am female 25y old what I should do pain is really often. [/INST] HiT hank you for asking Chat Doctor. I have gone through your query. Your problem can be due to repetitive stress injury or due intervertebral disc injury from heavy weight lifting.  A physical examination with an orthopedic will be helpful in ruling out this. MRI might be needed in case of positive findings for intervertebral disc injury.  Usually I manage such cases with NSAIDs like Nimusulide, muscle relaxants like tizanidine and local anti-inflammatory gels. Muscle strengthening exercises and physiotherapy will be needed if it is long-standing. Hope this may help you. Let me know if anything is not clear. Thanks. </s>