Conversation: The conversation between human and AI assistant.
[|Human|] I have a severe back ache problem, started with a neck pain 2 years back.I got an MRI done and it did not show anything much, slight compression in C4-C5, which my doc says wasnt a worrisome problem.I went for physio and then managed with the problem somehow.8 months back, I had a sudden pain in my lower back also, when I saw the doc, he advised bed rest and asked me to take an X ray. The Xray was normal, infact he told me the curvature showed a healthy spine.he then advised blood tests, and that showed my Vitamin D was almost zero. He then put me on Vit D medicine and shots and I did get a lot of relief. The pain was more or less under control with some intermittent spurts once in 2-3 months.Now, the pain has come back and both upper and lower back. My vitamin d is normal now and Myoril has stopped acting on my system now.Also, there is pain in hands and legs sometime.pls advice
[|AI|]  Hellos per description of your clinical symptoms it seems that you have Radiculopathy due to nerve compression (Presently at the cervical region, c4-c5). Symptoms for this are same as described by you, but may worsen if not taken care of. If I were your treating doctor I would have suggested you the following:1. Please take necessary precautions to maintain a good posture for your spine. You may even use cervical collar.2. Get an MRI screening of your whole spine with brief descriptions of cervical and lumbosacral spine, to rule out any disc compression or worsening of the cervical compression.3. Also get a report of vitamin D levels in your blood. Depending on the investigation reports it could be decided whether you need a conservative management with exercises and supportive medications or a definitive management by surgery (decompression/discectomy/root block etc.). For now, please avoid bending forward, lifting heavy weight, sitting or sleeping on the floor, squatting. Instead, I would suggest you to use a firm bed and flat pillow to sleep, and always sit with back rest. Thank you.