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

### input:
Hi I ve having sharp lower back pain, that when I wake up in the morning it takes me awhile to walk normally, also I actively wake two hours a day and I seem to have problems with that too. My legs go numb and not only does my lower back hurt but also my upper back

### output:

Hi, thanks for posting your concern in the Chat Doctor. I think you're having articular pain involving your lower and upper back. Information regarding your age, any history of recent or past trauma, is very important to come to a specific diagnosis. However, both upper and lower back pain with radiation and leg numbness suggests lumbar spondylosis along with degenerative disease of the spine. You should consult your local spine surgeon or orthopedic surgeon at the earliest for further evaluation. You would need to have X-ray of LS spine-AP/Lat view along with MRI of the whole spine (cervical, dorsal, lumbosacral) to find out any abnormality. You should have the following tests done too-Blood for CBC, ESR, urea, creatinine, calcium, it D(25), fasting TSH, HbA1cI usually advice my patients to have Pregabalin+Mecobalamine combination capsule, if they present with similar problem. It is available in Indian market in the name of Fibrogenic or Pregabalin. Please avoid having alcohol, spices, carbonated beverages, tobacco. For severe muscle pain I usually advice my patients to have cyclobenzaprine 15 mg at bedtime along with Paracetamol 650 mg SOS (min. 6 hr. interval between 2 doses). For any further information, write back to me directly.