Hi, I am a 49 year old male with lower back pain. I suffered a disc prolapse in 2005 and a couple of recurrences later. I was in beta methasone for 2 years due to an attack of pemphigoid which started tapering off in dec 2014 and stopped using the same in march 2015. For the last 4-5 months, I have acute lower back pain, with stiffness in various other joints. I have undergone 7 sessions of physiotherapy (heat treatment and vibratory massage), I also am regularly doing the 6-7 recommended spine exercises for the last 5-6 weeks along with 3 km morning walk after the same. I have taken two booster doses of vitamin d and my rheumatoid arthritis related blood test is normal. This has now alleviated the pain which I used to get while getting out of the car or rising after sitting for more than 30 mins but the back pain is persisting. Kindly advise the next steps. Mri and pelvis x ray are normal except for some degeneration of l 3/l 5. This regimen