Conversation: The conversation between human and AI assistant.
[|Human|] Hi,I am suffering from severe lower back pain. I also have pain in my heals. I get some relief from the pain when I do some stretching excerise but the pain slowly comes back. I also get sever pain in my right shoulder whenever I strain it. I am 35 year.
[|AI|]  HiT hanks for your thereafter going through your query I came to know that you are suffering from chronic backache. It may be due to vitamin and trace element deficiencies specially vitamin D and vitamin B 12. You need to do MRI to rule out other causes. Back exercises, neurotrophic such as mecobalamine and analgesics such as diclofenac give relief. Serum vitamin D test is advised if it is lower than vitamin D supplementation will be required. Avoid long continuous standing. Your heel pain can be relieved by hot fomentation. It may be due to planter fasciitis, if not relieved by hot fomentation that injection triamcinolone may be of benefit when applied locally in heel. You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care.