instruction: hello doctor about six months ago I developed pain in my lower back mainly in my waistline towards the right side I visited a doctor and we tried it but it did not work I then scheduled an appointment with a chiropractor however it was canceled dude to couid 19 a couple of days ago I was lifting at the gym and everything was going fine I started noticing the left side of my back waistline beginning to hurt so I went home since then the pain has worsened a lot it is a sharp shooting pain that will extend from my waistline into my buttocks I can barely sleep at night because when I try to turn over the pain is too extreme I feel it a lot when walking as well or trying to stand up if I am sitting down also lying on my back causes the area to ache really bad the pain is at its worse when I need to roll over in bed or when I stand up from being in a lying position even if I was lying or lounging for a minute or less I am a 23 year old male in the military the initial back pain that started months ago was found to be caused by wearing my sidearm at work for 13 hours a day and additional gear such as body armor however this new pain is something different please help
output: hello you will need some investigations to confirm the cause however the likely possibility is lumbar spondylosis with nerve compressions most importantly you should avoid heavy activities lifting heavy weights etc you will need an ray of spine ap anteroposterior and lateral view and may need an mri magnetic resonance imaging physiotherapy would be helpful you may continue to have alive naproxen according to need you may use local diclofenac gel or hot water fomentation we usually give patients a multivitamin like neurobion forte b12 which is good for nerves and next in the line is pregabalin which is a nerve stabilizer I hope this helps