<s>[INST] I have been suffering with lower back pain for a number of months. I have seen my GP who has sent my case to my local hospital. Over the last week the pain is more constant and I am finding it hard to stand after sitting and getting up in the mornings. I get sudden very sharp pains into my buttock and into my right hip. I am taking co codamol which are not doing anything for the pain. The pain is now always there and I am not sure if I should go to the hospital via A&E as my appointment is not for 2 more weeks and living with the constant pain is now getting harder to bare. Can you please advise [/INST] Hi, I have read your problem. Usually back pain is managed with pain-killers till 1 month period. If it persists beyond 1 month, then further investigations are done. Since you have a bad pain I will suggest the following: - Back pain can be due to many reasons. You should get x-ray lumbosacral spine done in AP and Lateral done send us report or discuss it with your doctor. Only then further management can be advised. - Avoid heavy weight lifting pushing and pulling heavy objects, because it will further increase back pain. - You can take medicine like painkillers + muscle relaxants by discussing it with your doctor. You may need stronger pain-killers which are available on prescription only. You can try ibuprofen or naproxen till you see your doctor. - Apply hot packs for 30 min in morning and evening . I hope it helps. You are welcome to ask further health related queries.If you have any further query, I would be glad to help you. Let me know if you have any concerns. In future if you wish to contact me directly, you can use the below mentioned link:   Dr.Singh. </s>