Dr. Ralph in your opinion is it possible to prevent back problems yes you can it can be prevented how the most part normally as the clip was saying normally we want to make sure that people are doing a daily exercise program there are maintaining their weights and living a healthy lifestyle the first three things that are really important also watching your posture that way you said they the way you do lift it lift things up those are things that actually it can cause back problems so if you do them in a in a really precise manner you can avoid injuries in in the down the stretch and there are medicines that one can take to kind of help with that back pain I’m not sure it’s going to cure it but it can help let’s show our viewers a graphic anti-inflammatories absolutely right and diplomat our medication will be the first step for most most patients that will be medication such as I’ll leave at Build those medications what they do is just bring the inflammation now as the word says just to by bringing the inflammation down that’s what’s causing the symptoms the pain normally we can treat the symptoms there muscle relaxants will be medications to help your muscle relax for the most part those medications there’s no good evidence that muscle relaxants they help in in the long term normally what’s being recommended will be about two weeks of muscle relaxants after two weeks there’s no evidence that those medications help narcotics we try to stay away from narcotics unless there is a fracture there’s a we just did a surgical procedure no narcotics what they do is just strip the brain but they’re not doing anything for your for your actually actual source of pain tricyclic antidepressants will be medication that are antidepressants that in low doses they work for pain because in pain some chemicals in the brain are being lowered so those same as the same chemicals they go down on depression so what they do is that they boost those levels up and finally anti-seizure medication so Doby medication such that such as gabapentin or lyrica those medication what they do is that they just start try to calm the nerves down some people they have sciatica symptoms or numbness tingling or pain in arms or legs you