Conversation: The conversation between human and AI assistant.
[|Human|] Sir I am 50 years old male suffering with upper back pain severly since 3 months and all of sudden onset aggravate by body movements and better by rest and pain killer medicine and x-ray says larger ostyophytes seen & my vit D is 5 only. Please suggest me what kind of treatment I should adapt and since one month I am consuming tab sazo 1gm no improvement
[|AI|]  Hello. You have what appears as degenerative disease of the spine along with vitamin D deficiency. Low vitamin D levels can aggravate the para-spinal muscle spasm and fatigue which will worsen your back pain even more. So take a course of Clairol granules, 60,000 units once every week for 6 weeks followed by once every month for 6 months. At the end of 6 months, check your levels again. The treatment of degenerative disease of spine is mainly with physiotherapy, trigger point releases of the back muscles which can occur in patients with low vitamin D and local application of analgesic ointment.  Try to sit with the back straight while sitting.