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

### input:
pains I am having. I was recently in a wreck an have been having back problems due to the wreck. I have been going to a physical therapist to help my back and neck get better. This past Wednesday I went to my physical therapist to do exercises I normally do there and my neck and back were hurting a little bit. We stopped doing neck exercises because it was hurting. I did a back exercise and noticed it hurt to do it so he had me not do so many. I didnt hurt right when I left there but when I went into work later that day I started having bad lower back pain and both sides of my abdomen have been hurting badly. The past two days it has hurt to walk and do stuff at work and nothing seems to make it feel better. I am not sure if I am having muscle problems or if it has to do with me being a little lactose intolerant. What could be causing my pains?

### output:

Hello, Thanks for your query. There are numerous causes and conditions that produce neck pain as well as back pain. An MRI scan of the concerned spinal columns will help in establishing the proper diagnosis. I suggest you not make any delay in approaching a doctor as it is definitely abnormal to have neurological problems with weakness in the limbs at your age. The treatment for your problem will depend on the condition diagnosed. Generally, with early diagnosis and early treatment, one can expect favorable outcome after treatment. Temporarily, please follow the below-mentioned measures to get some symptomatic relief -- avoid any movements that produce pain-do not use bulky pillow underneath your head while sleeping as this position will produce more compression of the nerves-Use a Soft collar which allow the muscles of the neck to rest and limit neck motion. This can help decrease pinching of nerve roots with movement. Soft collars should only be worn for short periods of time, because long-term wear can decrease the strength of neck muscles.- Analgesic (diclofenac & lornoxicam) and muscle relaxant (thiocolchicoside) combination medicines will provide symptomatic relief from pain & muscle spasm. Neurotrophic vitamins like METHYLCOBALAMINE (activated It B12) or PREGABALIN will help in alleviating the neuropathic pain. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care