Conversation: The conversation between human and AI assistant.
[|Human|] Hello, in the last 2 weeks when i seat on the floor or on the toilet my body shake from the inside. and now i i have pain on mu lower back like coxy area but is not the coxy. when i tight my bottock hurt a lot. last night could not sleep because the pain . please advise. thnkyou
[|AI|]  Hello, I have studied your case. Buttock pain can sacral in origin which is in midline of buttock at end of tail bone. Do you have pain on tail bone? Another possibility of spinal nerve compression. Due to compression of spinal nerve root there can be pain in your buttocks will advise you to do MRI spinor 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. Wishing you good health. Take care.