instruction: hello doctor I am a 37 year old female I previously asked a query in icliniq and was attended by a doctor who advised as follows since all your reports are normal except for very mild anemia and a mild increase of abc count then the cause of your lower back pain that extends to your hip thigh and knees could be either sciatica or lumbar disc prolapse this should be diagnosed by a it scan of lumbar vertebra you also need an ray of your hip joint to exclude osteoarthritis for the anemia you should take iron and folic acid supplements for a month last month I had pain in my legs thighs lower knees and in my back I met an orthopaedician and find nothing wrong with the knee joint pah and lumbar spine my us abdomen and pelvis are also clear now my blood pressure remains high I am feeling pain in my back thighs and legs below my knees and I am feeling very weak as per my last report my abc is high and hemoglobin is low report attached currently I am taking ultra do 100 iu once in a day fludac 20 my capsule twice a day gemcal once in a day stamlo twice a day
output: hello after revising your rays it seems that you have degenerative changes in your knee joint and in your spines with diminished disc space between lumbar vertebra number and spinal vertebra number these degenerative changes actually indicated the presence of osteoarthritis which is a chronic progressive disease of joints treatment aims at stopping the progress and managing the symptoms it should include analgesic and anti inflammatory medications corticosteroids physiotherapy that should include stretching to improve flexibility and mobility of joints and exercising as well as for your blood pressure you should start a strict salt free diet and monitor your blood pressure for 10 days if still high then you will need an antihypertensive medication