Conversation: The conversation between human and AI assistant.
[|Human|] Hi. Since June I have bad lower back pain especially when in bed and for the first hour or so in the morning. Also since January i have bad pain in my heels and find it hard to walk most of the time. And since February I ve had alot of pain and pressure on my tailbone. I havent had any injuries in either area. Any idea what could be causing it?
[|AI|]  Hi, Thanks for the query. I understand your concern.  You seem to have pain due to Arthritis of sacroiliac joints / weakened bones(osteoporosis)/ degenerative changes in vertebrae or disc problems.  All of these are related to degenerative changes caused by over use/ age.  You need to consult an orthopedic surgeon for a detailed physical examination/ investigations like serum calcium, vitamin D, Rheumatic factor in blood / X-ray spine & joints.  After coming to exact diagnosis you would be offered cause specific treatment, which can be(medicines with NSAID, steroids/ calcium & vitamin D supplements/physiotherapy/ surgery, Thanks.