<s>[INST] hello dr I am a chronic back pain over 18 years deg disc and hurn disc I was told twice surg will do no good my old dr left and new doctor is taking my pain levels down way to far I don t have any quality of life im on opana 30 mil and 5mil oxy I was on more I do therapy ,back brace any answers [/INST] Hello, You can try Gabapentin which is quite effective for spine related problems that fail to respond with routine analgesics. If pain killers does not provide any relief, you can try steroid injection to spike which provide a pain free interval. Hope I have answered your query. Let me know if I can assist you further. </s>