,Unfortunately, the patient continued to have persistence of back pain and radiating symptoms down to his leg and went back to see Dr. XYZ again, and at this point, the patient was provided with further medication management and sent for Pain Clinic referral. 
,Unfortunately , the patient continued to have persistence of back pain and radiating symptoms down to his leg and went back to see Dr. XYZ again , and at this point , the patient was provided with further medication management and sent for Pain Clinic referral .