Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I have had  very bad back pain in my lower left back which goes into my buttock for over 2 weeks.  I saw my doctor two weeks ago, who thought it was chronic back strain.  I have been very careful since, moving around, but sitting down and standing for short periods is painful. I have dull period like pains in my stomach although not due a period for another 10 days or so.  I have noticed over the last few months that my back gets painful for a couple of days before my period, which goes after a few days, but this pain isnt going away!
[|AI|]  Hi, thanks for writing to Chat Doctor. Back pain occurring a few days before menstrual periods is considered as normal which usually results due to pelvic congestion during that time. In your case, back pain which is persisting and radiating into the gluteal region might be possibly due to Sacroiliac joint strain or some issues in the Lower Lumbar spine. A detailed clinical examination and appropriate investigations like X-rays of the L.S.spine & S.I.joints or an MRI scan will help in establishing the correct diagnosis. The treatment depends upon the diagnosed condition. I suggest you to consult an orthopedic surgeon for further management. Hope this information is helpful. Good day