<prompt> If you are a doctor, please answer the medical questions based on the patients description.i have had lower back pain for almost four years and when i turn it hurts even more and if i turn enough, it cracks but it hurts. it has never stopped during these four years. it s always there and it hurts bad. sometimes i get sudden pulses of more pain too i dont know what it is please help  <response>: Hi, Welcome to Chat Doctor. After going through your query I think your You are 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. Consulting with treating doctor is advised. 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 standings in a straight posture. Eat milk, fruits and green leafy vegetables daily. You need to do MRI TO RULE OUT other causes. I think your query answered. Welcome to any follow-up query 