<s>[INST] My lower back has been hurting for 3 weeks now. Now its gone into boths sides, around waistline. Now its also moved into my belly area (belly button location, but all around my entire waist n lower back. I get very fatigued , hurst badly at all times. Gets extreme when i do my job or even my chores [/INST] Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Lower back pain can be caused by various reasons. The lower back ache is usually due to back muscle spasm.NSAIDs and muscle relaxants for short-term and rest will be beneficial. But other conditions like urinary tract infection or stones should be ruled out by doing urine routine examination and ultrasound.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Nishad BN </s>