Conversation: The conversation between human and AI assistant.
[|Human|] My pain began in upper left side of back about 3 weeks ago and has settled in side hip (like a hip pointer).  Pain is acute and feels like a strain but is a thudding pain.  I had shingles a couple years ago and feel like it is related.  I am taking neuronton 300 mg 3xdaily and it helps some.  However, I am in a lot of pain.
[|AI|]  Hi, Thanks for your query. After 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. It is unlikely to be related to shingles you had a couple of years ago. You need to do MRI to rule out other causes. Back exercises, neurotrophic such as mecobalamine and analgesics (DICLOFENAC 100 MG SLOW RELEASE TABLETS) give relief. Sometimes vitamin D deficiency can aggravate this so serum vitamin D test is advised if it is lower than vitamin D supplementation will be required. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. 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.