Conversation: The conversation between human and AI assistant.
[|Human|] I have lower back pain that has been happening on and off for about a two months. Recently it hasn t gone away and now my hands are not only going numb at different times in the day and night but the numbness has now turned to burning and my hand that is numb and painful is colder than the other hand ]
[|AI|]  Hello, I have studied your case. I will advise you to MRI whole spine for better diagnosis. It can be due to various causes like sudden jerk to spine, due to facet arthritis, degenerative, due to chronic systemic disease like diabetes or hypothyroidism. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you are satisfied with answer do not hesitate to rate this answer at end of discussion. Wishing you good health. Take care.