Conversation: The conversation between human and AI assistant.
[|Human|] Hi I am getting excruciating pains in my lower back when I lie down especially if I have been standing for a long time. I don t know what I have been doing to cause this or what I should do about it. The pain will subside after lying down for a while but the first 20 minutes is pure agony. Suggestions on what it may be or how to help it?
[|AI|]  Hello and Welcome to Chat Doctor, Thanks for writing to us. Low backache looks like a positional anomaly. The low backache is a result of muscle spasm which in itself is a protective mechanism body develops so that the back avoids abnormal posture. For pain to go, it takes not only rest (on a comfortable bed) but also avoidance of particular positions (during work, rest or recreation). Avoid sleeping on sides and stomach in case you do. While on work don't sit in one position for more than an hour and take frequent stretch breaks. Do not bend forward to lift things up, bend the knees and hips for that. Also discontinue any strenuous activity or exercises for some time Hope this helps you. Wishing you good health... Regards.  Chat Doctor. Orthopedic Surgeon.