Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I have a very severe pain in my left butt cheek which really only hurls while I am lying down. I am a 50 yr. old woman, and I didn t lift anything. It doesn t seem to radiate out too far to my back. I can sit and walk without difficulty; although, I do get an occasional stabbiing pain from that area. It just started about a week ago. Any help you can give would be greatly appreciated. Thank You!
[|AI|]  Hello, As what I understand from the history is this could be a disc degenerative changes happening in the lumbar spine leading to the symptoms you are facing now.  As your age is 50, and we can suspect some minor / major changes of the lumbar discs. Having a physician examination by an orthopedist and an MRI will be surely of great help.  Most cases respond well to conservative management like - medication and exercise. For time being use hot water bag, lumbar brace and rest. After a week you can slowly start strengthening exercises if the pain is below 5 on a vassal of 0-10. In my clinical practice, most cases reports with similar complaints perform better with conservative management. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor.