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

### input:
I have severe pain in my lower back, right side, and right buttock that radiates down my leg all the way to my foot. I am often unable to walk without limping. Also both hips hurt and are tender to the touch on the outside of my buttock (bursitis?). I have severe all over pain and stiffness every morning and after sitting for any length of time (ex. eating lunch) and struggle with painful knees, ankles, wrists, hands and feet. All of my blood work, every test you can imagine, has been normal. I have normal e-rays of hips and a normal MRI of my lumbar spine. I take Lyrica and Cymbalta, but still experience extreme pain. NSAIDS do not help. Suggestions?

### output:

Welcome to Chat Doctor I have gone through your query and understand your concern. You are suffering from chronic backache. This may be related to muscles and bone weakness. There may be deficiency of vitamins and trace elements. You can take supplements of vitamins and trace elements. Back exercises are helpful in muscle strengthening. Analgesic such as ibuprofen is helpful in pain relief. If not relieved by it, you can take strong analgesic such as tramadol. You can get vitamin D and vitaminB12 levels and if found low you can take its supplements (vitaminD3 and mecobalamin). You can continue with Lyrics and Cymbal ta, You can discuss with your treating Doctor about it. Hope I have answered your query. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. Wishing you good health. Take care.