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

### input:
Hello, I am having horrible pain in my buttocks and down the back of both legs. When I sleep on either side that side gets really sore. Several months ago when I woke up I felt like I had a hitch on my right hip side but it would go away throughout the day. For the last month when I wake up or sit for a long time I have horrible pain and it feels like the back of my legs and buttocks muscles are seizing when I walk or reach for things above my head and also when I bend over. The pain usually gets better throughout the day but is still always there. Also, for quite some time my hands fall asleep when I sleep. If I lay on my left side my right hand falls alseep and if I lay on my right side my left hand falls asleep. It takes awhile after I get up for that feeling to go away. Any suggestions? Thanks, JH

### output:

Here you have given symptoms of pain in buttock as well as both the legs, and it gets worse if you sleep on either side for that side. Apart from this you have also given symptoms of hands becoming numb when ever you sleep to one side the opposite side hand becomes numb. As per your symptoms it looks like you have issues with your back lumbar spine and due to this you have pain in buttock as well as in your legs. I suggest you need to do an MRI of lumbar spine and check further with orthopedic doctor followed by physiotherapist. Apart from this the numbness in hands indicates there may be problem with cervical spine as well deficiency of vitamin B, vitamin D as well calcium. However the conformation can be done by blood test. And physical examination by orthopedic doctor. Here for your pain at buttock and leg level as per the evaluation done by your doctor if there is no major issue then physiotherapy treatment and exercises will help you a lot. So I suggest do visit a physio for treatment of pain as well take suggestion on posture for further precautions. And follow the spinal exercise program as per suggestion of physio for strengthening and flexibility of spine. At home, you can also use hot pack and apply some pain relieving ointment after it for some more pain relief. As well do not do any activities which use to aggravate your pain. I am sure it will be helpful for you when you follow all above advice. Take care.