Conversation: The conversation between human and AI assistant.
[|Human|] My whole body creaks and cracks loudly when I move and I have low back pain that s lasted two years. I also have fibromyalgia. I am so stiff I can t bend over to do simple things like wash my face in the sink. I have a lot of difficulty standing up once I m sitting, due to a lot of pain and stiffness effecting my whole lower back-hip-backside area. X-rays I had taken when it started showed some osteoarthritis, mild-moderate facet joint enlargement, and spondylosis, but it feels like something more serious. I have hypothyroidism and tests show I m getting enough hormone from my Synthroid dose. What can this be?
[|AI|]  first exclude ankylosing spondylitis AS it may cause generalized stiffness by exclusion of bilateral sacroiliacs and measuring chest expansion and investigate HLA B27. Then If Ankylosing excluded .do the following investigations(Rheumatoid factor.CBC.liver and kidney function, ANA,ESR and CRP)If everything is ok so don't worry just wear a dorsolumbosacral belt receive NSAID And muscle relaxant before sleep and lessen heavy work for one month.