Chronic piles with back pain. kindly assist?

Sure, but...: Need diagnosis first. "cure" depends on if simply just hemorrhoids/fissure or something serious. Have you been straining at stool, have rectal dysfunction, perform an activity that increases pelvic engorgement with blood or increases pelvic pressure (heavy lifting, prolonged sitting, etc.)? History of colitis, infection, rectal/anal trauma or high risk? With back pain, best to get checked now.