<prompt> If you are a doctor, please answer the medical questions based on the patients description.hi I would like to know what I should to do I have really bad beck lower pain and I used only tylenol and some hit pads but still hurts I am take caring of paralise person spine cord ijnury C4 and C5 so always I lifting her but main essue is my work I m doing landscapeing and I am female 25y old what I should do pain is really often.  <response>: HiT hank you for asking Chat Doctor. I have gone through your query. Your problem can be due to repetitive stress injury or due intervertebral disc injury from heavy weight lifting. A physical examination with an orthopedic will be helpful in ruling out this. MRI might be needed in case of positive findings for intervertebral disc injury. Usually I manage such cases with NSAIDs like Nimusulide, muscle relaxants like tizanidine and local anti-inflammatory gels. Muscle strengthening exercises and physiotherapy will be needed if it is long-standing. Hope this may help you. Let me know if anything is not clear. Thanks. 