instruction: hello doctor I am 36 years old and healthy I had vitamin do deficiency with back pain four years ago when I was abroad I came back and did physiotherapy and ayurvedic treatment things got better in two years but I still have the following symptoms back pain comes when sitting for a long time specifically in certain kinds of chairs sometimes twisting pain comes suddenly when I sit in certain chairs for long standing continuously in certain types of floors is an issue lifting weights is fine but still need to comfortably lift more than keg standing is comfortable in roads shops etc for a long time spine pain radiates to the back of the head and neck at times when that happens I sometimes get lightheaded when seeing objects rotate pain comes when I sit and clean objects if I do no fully sit pain does not come long scooter rides sometimes cause back pain the next day
output: hello you have symptoms that are typical of core and back muscles weakness I will advise you to take up some regular exercise schedule whether it is gym based or at home like yoga or even at work where you do chair based exercises that help you with core strength and back toning and flexibility exercise you can see a good manual therapist or a physiotherapist who will be able to guide you should be mindful of poor posture and avoid sitting in position for any length of time