Conversation: The conversation between human and AI assistant.
[|Human|] Hi. This is xxxx here. I have been suffering from chronic backpain from 2007. It started with the neckpain and gradually to middle and lower back pain. I have suffered from knee and leg pain in 2011. My X-Ray and MRI reports are normal. I have got some other tests done : Vitamin B12 , 25-OH Vitamin D3- RIA , calcium, haemoglobin. This backpain has been effecting my day to day life activities. I would appreciate your advice and help here on what steps/ treatment should be taken to cure it.
[|AI|]  Welcome to Chat Doctor. Chronic back pain is quite disabling. Most common reason is muscle fatigue and spasm. Need to find out the risk factors contributing to the problem.  Common risks factors are prolonged sitting job, long travels and overweight. Long term solution to the problem is physiotherapy with back muscle stretching and exercise with modification of the risks factors if present. Coming to the Treatment options. Initially we always treat with medicine and physio. If problem persist then we need to investigate further to find out the pain generator. Thanks.