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

### input:
Hi Doctor I am a 52 yeas old male, since I remember when I was young in my 20 s I have always felt my arms in some kind of pain not that much but some pain and my arms are like they are tired, I lift some easy dumbels (20 pounds) easily but I can t do many repetitions at the 3rd or 4 repetition my arms (biceps/triceps) are super tired same thing if I do push ups? after the 3rd or 4th push-up my arms are tired Same thing happens with my legs, if I ride my mountain bike on the street on my way there is a little heel I feel my legs tired? because of this I have rested one or two week believing this pain or kind of tiredness will pass but when I get back to do same thing, I feel the same way? I eat healthy I don t eat candies donnuts however I eat a lot of bread every day, I eat fruits no soda, I even drink Emergency every single day

### output:

Hello, I have studied your case. Due to compression of spinal nerve root there is pain in your arm and fingers I will advise you to MRI spine for better diagnosis. For these symptoms analgesic and neurotrophic medication like pregabalin can be started consulting your doctor. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. There may be related osteoporosis associated so start treatment of that also. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care