Conversation: The conversation between human and AI assistant.
[|Human|] Dear Dr,  I am Ashok, aged 58 years, weighing 81 kgs, and my height is 5 ft, 7".  Recently I had a very severe low back ache which stretches down till my left knee running down through my glutal region.  I find very difficult to get up from bed.  But i dont find difficulty in walking.  Could you tell me the treatment I should take by return mailAshok.
[|AI|]  Hi Mr Ashok, As you described your complaint there are two different problems. Both are commonly age related problems.1.backache radiating to left lower extremity. This could be due to lumbar spondylosis. Which is age related degenerative process causing compression of nerve root on left side. If it's a recent onset problem than you cocktail of analgesics, antacids, Pregabalin, methylcobalamine and good anti-inflammatory medications for pain relief. BUT the main stay of treatment would be lifestyle modification, wt loss some back care and exercise of back once pain subsides. If after a month pain persist or increasesThan go for spine surgeons opinion.2.knee pain on standing up also seems age related osteoarthritis. In that too.lifestyle modification like avoid sitting crossed leg, squatting or sitting below the level of knee height, prolonged standing, prolonged walking(can walk for long distance, but after short duration of walk take more rest by sitting in between) will help to slow down the degenerative process. Sos analgesics can be taken on rise in pain. And last but not the least accept you are getting old. Know your limits. Avoid extreme physical activities. Visit orthopedic and follow the advice.:)