### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello My mother is a very hard working women, few years after giving birth to my small brother she had her womb removed...eversince, she has experianced many problems It started with a vericose condition on her legs and since she was not treated in time, her problems have extended during the years... Now she suffers from - back pain - a continous pain from her back, down her thighs to her ankles -her ankles swell up on days she doesnt exercise - her joints ache and she cannot sleep to a side on the bed, if she does within 5-6 mins a unbearable pain arises so she sleeps straight and that causes backpain early in the morning - and recently she complains that she feels a tingly feeling on her legs ...she compares the feeling to mice running on her legs but from the inside We have consulted doctors but none of the medications have helped her ...i was hoping someone can explain to me what might be possible wrong with my mom. Note- my mom is overweight ...height 5 foot 9, weight 90 kg, age- will become 50 mid october Please do reply Melansha My email YYYY@YYYY

### output:

Hello, Your mother is perhaps suffering from osteoporosis, a condition of thinning of the bone material causing pain in the bones. This usually occurs after the menopause but in her case it might have started early owing to the hysterectomy. She might also be suffering from problems in her spine causing the pressure symptoms like tingling and pain. Pain in joints is usually due to arthritis and since she is overweight, it is common for joints to take the extra strain. She needs a complete orthopedic assessment and so, I advise you to take her to an orthopedic for treatment. Take care.