Conversation: The conversation between human and AI assistant.
[|Human|] Hi for months I have had pain on both butt cheeks/ bones and right in the middle of lower back. Times I cant even get out of bed. Plus I do not sleep well. I always have to flip from side to side. I feel nauseous in morning and throughout day. Im also tired. I also get tingling in my legs and feet. The back of my calves get heat in them. My hips and butt cheeks ache daily.
[|AI|]  Hi, Thanks for posting your query. The description suggests that you have lumbar disc disease with radiculopathy. The initial management for this problem is conservative by following means : - Bed rest - analgesics and occasional muscle relaxants - Methylcobalamine preparations which helps to alleviate your "pins & needles" sensations - lumbar back support while sitting for longer periods - intermittent pelvic traction If you don't get any relief within 3 weeks, you need an orthosurgeons consultation to decide upon the need for surgical intervention. Hope this will help you. Let me know if you have any more concern. Warm regards Chat Doctor.