<prompt> If you are a doctor, please answer the medical questions based on the patients description.hi - i have just dropped my daugher off at nursery and on my way back got a painful twinge in my back now i cant stand up straight as its too painful - i suffer mildly from sacaitica and this happened to be about 6 years ago- my mobile is not working its in the shop to be repaired so i cant even call a doctor - any advice please  <response>: Usually back pain is managed with painkillers 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 painkillers 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. Thanks. Chat Doctor. 