<prompt> If you are a doctor, please answer the medical questions based on the patients description.I have a question about my pain management doctor. Why after 2 years treating my cronic back pain, he is decreasing my pain meds to the point I need over the counter meds again. My condition is... Lumbar Discogenic disease, Lumbar Facet Joint Arthropithy, Lumbar Spondylosis, L3 Radiculopathy with Degenertive joint disease , with muscle spasms. Im a 51 year old man who worked as a iron worker for 25 years.  <response>: Hi, I have read your problem. 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. If you have any further query, I would be glad to help you. If not, you may close the discussion and if possible you may rate the answer 5 points for me, so that I get good feedback. In future if you wish to contact me directly, you can use the below-mentioned link: .comdoctors Chat Doctor. Thanks. 