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

### input:
Hi, I m a 24 year old female I weigh 130 pounds and I m 5 6 with severe lower back pain and frequent migraines. October 2009 I found out I had a nodule located on my thyroid which a biopsy proved inconclusive to being malignant or benign. So my doctors decided to do a surgery removing only the left side of my thyroid due to the location of the nodule. Results from that surgery proved to be malignant hurthle cell carcinoma. 4 months after that surgery I underwent a total thyroidectomy and also had 7 lymph nodes removed due to calcification. For a few months following that I lost my voice randomly and developed nodules on my vocal cords from what they said was the endotrachael tube and had to see a speech therapist. I also had a calcium drop from 10.1 (pre-surgery) to 8.4(post-surgery) consistently. 6 months after my second surgery I took the radioactive iodine and then did the body scan. Although the doctors said it turned out good I was told there was supposed to be 0 traces of iodine in my system with the exception of my thyroid. I did the scan 4 days after swallowing the iodine and the scan showed it in my bladder and kidneys. is this due to just being excreted? And if so is that normal for 4 days after the scan? Also I did a thyroglobulin test that i was told was supposed to be 0 and it was .6, could this be significant? All that was specifially to ask this, A few months after the treatment I started developing lower back pain, when I saw my endocrinologist I informed him of it but since I was having a hard time adjusting to the proper dosage of snythroid(for a 3 month period I was hypothyroid) he convinced me I was just achy and having body pains due to being hypo. For 4 months now I have been pretty much within normal ranges on my TSH and FT4 but my back pain won t go away. Even just standing for 20 minutes or more causes horrible pain if I have to bend over or sit down or move positions. It almost takes me breathe away. Could this be my calcium change? Or possible cancer in the bone? Or is it possible for your vertebreas to fuse together? HELP ME

### output:

As mentioned in your narrative you have got rid with just a muscle spasm nothing else. For this you have to take some painkiller with muscle relaxant like tab danger or tab osteopath after meals when your back pain is worse enough to disturb your routine work along with tab shall 500 mg once daily preferably in afternoon with tab rant ac or tab carotid empty stomach. You can also use holdup gel or powergesic-plus gel for local application as it is quite helpful in relieving your back pain and muscle spasm. Apart from these you can also go for some physiotherapy exercises after an expert opinion of physiotherapist.