Conversation: The conversation between human and AI assistant.
[|Human|] I have pain in my hip area and lower back that radiates down both legs. My big toe goes numb all the time. I have hip and groin area. When bending over, I feel so weak and tired in my lower back and legs. When going up stairs, I have to hold onto the railing for fear my knee gives out. I am OK going down stairs. I have muscle spasms all the time in my back and legs and feet. In fact if I sleep 5 hours without waking because of the pain, I am happy. The doctor says that it is just old age. I am a 55 year old female and am usually very active. I have a physical job which I bend, twist and lift light objects from ground level for 8 to 10 hours. After my pain elevates, I feel exhausted. It is not osteoarthritis per a rheumatoid specialist. I am told it is sprain/strain of my lower back. Hip Xrays show nothing.
[|AI|]  Hi, thank-you for providing the brief history of you. As by reading the history I can understand that it is not a RA or a OA factor. Neither its is a muscle strain nor ligament sprain. As per me, it is more of a lumbar spine disc degenerative changes as per the aging process. Taking an MRI scan will help understand the spine pathology and if any disc prolapse, protrusion, herniation is there can be understood. This comes in mind by the classical symptom of radiating pain as in this condition due to nerve impingement there will be a radiating pain and also motor control weakness. Regards Jay In Chat Doctor.