Conversation: The conversation between human and AI assistant.
[|Human|] Hello I am a 40 year old female I started off with back/rib pain almost a year ago. At that time the dr stated he thought I had pulled the cartilage away from my ribs and recommended physical therapy. I did go to therapy for months and the problem continued only to progress to low back pain and leg weakness ,heaviness, twitching, cold sensation in the legs and groin area. Ive had 2 mri done in which they stated there was nothing significant I had a small annual tear and cyst between vertebra but They don t feel that it is the cause my issues. I start my day off with very stiff legs within a half hour that s usually better. And I feel well for several hours then the back pain and leg pain ,weakness, and heaviness become horrible and by the end of the day im barely walking. Ive also noticed some balance issues. This issue is effecting my job and my ability to work. I need some advice of where to go from here
[|AI|]  As per your explanation looks like you also have deficiency of calcium as well vitamin D I suggest giving your MRI report as it is here too.  So that I can guide well.  But as per what you have explained I understand you have done physio therapy as well also have taken basic treatment. I would like to suggest that you also need to do spinal exercise properly which includes stretching, twisting, spinal extension, as well also strengthening.  If you need it properly do talk to me on my mail nirajmodish@gmail.com and will try to mail you exercise detail.  Apart from.  This does take regular calcium supplement. Take care.