Conversation: The conversation between human and AI assistant.
[|Human|] I have always, even when I was a kid had problems touching my toes. My back is not flexible, I have seen an Xray of my back and all the spacing looks good but the lower back is really thick. If you rub my lower back it has a knot that you can feel. I have tried strecthing and it has not helped. My lower back does hurt, its like a dull pain and I m alway stiff, in the morning it is the worst. Any ideas on what this is and what can I do to help it. I m a 41 year old male 6 tall I weight 285 lbs (I know the weight isn t helping things) most of the weight is in my mid section so I guess that pulls on my back. Otherwise I m in good health. thanks for any help or advice you may give.
[|AI|]  Dear Mr. Hollingsworth, You might be suffering from one of inflammatory spinal disease (like ankh losing spondylitis, please google it). Have you done HLA B-27 test? Usually positive in ankylosing spondylitis patient. Consult a spine doctor in your area, they can tell whether you have it or not by looking at your x-ray. Treatment is mostly with physiotherapy. Also, a rheumatologist might give you some medications to reduce the inflammation and pain. It's difficult to improve flexibility, but you can try to save whatever is left by physio. Hope this helps, Thank you