Conversation: The conversation between human and AI assistant.
[|Human|] hello! sir. i am venkatesh.age 25 years.. i am having pain in lower back left side from last 5 years... and now the pain is increasing day to day.. and recently from last 5 months i noticed that black spots are spreading over all back side. mainly sevier pain comes from morning 4.00 am to 7.00 am.. and in daily when we are walking long distance, climbing up and down of steps.so, please suggest best permanent cure for me
[|AI|]  It seems you are not on medications? In that case black spots may be skin problem for which consult skin specialist(dermatologist), he may prescribe skin ointments etc. for relief depending on cause and diagnosis. As for back pain, get X-ray of back region and consult orthopedist, it appears it is stiffness during rest period and mobility in day activity lessens it - so back strengthening exercises may help-but get evaluated with x-ray if there is any underlying disease of spine or associated structures in the region. I can advise more after these prelims plus divulge your past treatment record if any