<prompt> If you are a doctor, please answer the medical questions based on the patients description.My wife suffering on back pain on waist from 3 years.one time surgery already done march2009 but no benefit. she under observation neuro surgery.he telling another disc L4L5 problem need surgery but i am not agree . what can i do now. please advice thanks you.  <response>: Hi, Welcome to Chat Doctor. After going through your query I think your wife is suffering from chronic backache. Treatment of back pain is exercises and analgesics diclofenac SR. Sometimes strong analgesicsuch as attract three times a day after meals is required. Sometimes vitamin D deficiency is the cause so get your vitamin D checked. If it is low then vitamin D supplementationweekly with milk can be taken. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. As she has already failed surgery so only if she has radiationgoing of pain in both lower limbs than only she can think of surgery. Consulting with treating doctororthopedecian is advised. I think your query answer. 