<s>[INST] Hello doctor, I am running an IT firm for the past four years. Currently, I am having two health issues related to my work. 1. 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. 2. 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. [/INST] 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. </s>