Conversation: The conversation between human and AI assistant.
[|Human|] I have lower back pain, it has been aching a while and thought it was my matress but since Monday it has really started to aceh all the time. I do go to the gym so not sure if its muscle pain or something else. It feels like I constantly have to stretch it over to pull it but doesn;t quite feel like in my muscles and seems to now also be going round the sides a little bit
[|AI|]  Hi and thanks for the query, It might be necessary to precise for how long you have been having this pain and if there is an identifiable trigger of the pain. A clinical evaluation might be necessary. An R ray of the lower spine and a spinal CT scan might be useful. These shall depend on the clinical appreciation of your doctor. It might be necessary to precise if the cramps you experience always correspond to the pain or not. Any changes in the sensitivity or at times weakness in the lower limbs. Doing serum electrolyte tests to exclude any electrolyte abnormality like Low Calcium and Magnesium levels should be done and identified. Levels of Vitamin B12 and vitamin D could also be useful. Erythrocyte sedimentation rate and C reactive protein tests to measure the degree of inflammation could be useful to ascertain a detailed insight. I suggest you consult your physician for a proper clinical evaluation and para clinical testing. Best regards, Luchuo, MD.