instruction: hello doctor I am a year old male I have been getting hips legs knees and back pain issues when masturbating I usually masturbate four to five times a week sometimes I can go two to three days without masturbating I have cracking noises in my hips and knees and my quad muscles feel over stretched and tight this problem has affected me and I am very limited in performing any activities such as sports I am not physically active anymore I used to play sports regularly but since I started having so many problems from the waist down I stopped also I get pain even when I am standing sitting or driving and get pain in the morning after waking up I live abroad and to get any medical attention requires months of waiting I currently have an mri booked in five months but my symptoms are getting worse day by day and I do not have the patience to wait until then is masturbation the reason for my problems how can I fix these issues and get my life back to normal is mri necessary if not what do I need instead please help
output: hello sorry about your health condition masturbation usually may not cause weakness or muscle problems so do not worry the possible causes for your problem is panic attacks or anxiety which lead to increased tension in muscles hypocalcemia fibromyalgia hypothyearoidism vitamin deficiency rheumatoid arthritis myositis still many possibilities are there so use vitamin capsule like evian 400 my twice a day for two weeks use tablet aceclofenac 100 thiocolchicoside my twice a day for five days avoid excessive masturbation as it may lead to penile mucosal injuries lack of sex drive etc eat more green leafy vegetables and fruits do yoga and meditation regularly to release your muscle tension get done hemoglobin level thyearoid profile serum calcium and vitamin levels also do ra rheumatoid factor ana antinuclear antibody aso antistreptolysin are also useful if symptoms are not improved please consult with your physician or rheumatologist he will examine and treat you accordingly