Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I got a stress fracture in my lower back 13 years ago and have had some sharp pain on and off ever since but never anything long lasting or unmanageable. However, recently I have been having pain consistently throughout the day due, I believe, to me carrying my son around. Is there any reason for concern that the fracture is still causing this much pain?
[|AI|]  Hello, I have studied your case with diligence. Spine stress fracture can be due to osteoporosis. There can be degenerative wear of bones, muscles, ligament and loss of elasticity of muscles, due to deficiency of calcium, vitamin D, IT B12 and carnitine. So supplements of these nutrients can relieve pain. Check your bone strength with DEXA SCAN and you can start medication according to level of osteoporosis, You need to start supplement of calcium with vitamin D, it B12, and if osteoporosis is severe then bisphosphonates can be started. I will advise you to do regular physiotherapy and exercises as my patients find much relief by these therapies. You need to take diet rich in calcium and vitamin D. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care