instruction: hello doctor I am running an it firm for the past four years currently I am having two health issues related to my work lower back pain it started two years back and now it has become worst now I cannot ride a motorbike cannot sit in a normal chair and cannot even sleep on my sides I also cannot walk or stand continuously for more than half an hour currently I am using a belt and it is helping a lot pain in both the shoulders if they are not in action like if I am sitting in the chair for more than an hour without regularly using my hands the shoulders start paining this just started a few months back and getting worst I have not consulted a doctor yet for both of these issues I wish to book an appointment and it would be appreciated if the doctor knows malayalam as my english is not up to mark
output: hi well you have a typical problem with people working in an it firm tell me first how much physical activity you have in your daily routine