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

### input:
Hi, I have been suffering with back pain for a as long as I can remember. I miscarried in Novemember and since then the pain has become increasing worse. I have been seeing a chiropractor independently as  my doctors answer was swallow some pain killers and come back in a few weeks. The chiropractor helps alot but has not managed to fix the problem and he has also mentioned to me that a possible cause or affecting factor of my miscarriage could have been my back problem which from what I can remember occurs at around L3-4 I think. Another linking problem that concerns me is my weakened bladder control, if Ive got to go I have got to go and I cannot hold it in like I used to. Im ashamed to say that at the age of 26,this was not an issue I expected to encounter for many years to come. I am a Personal Trainer and like to keep active but I havent been to the gym for months as I always end up in pain, I have had to give up ice skating and dancing and feel like I permanently have a hot water bottle attached to me. My partner and I want to try again very soon but Im scared!! I asked my doctor for a CAT scan before I fell pregnant, do you think I should go back and ask again!

### output:

Hello, I understand your worries and concern. First let me start by telling you, your back pain was not responsible for your miscarriage. If you and your partner want to try for another baby, please go ahead. I would advise you to consult your doctor for a preconception counseling and inform about your previous miscarriage so that all precautionary measures can be taken. Back pain is a common ailment. Painkillers provide faster relief, you can also use topical analgesic ointments. There are several physiotherapy procedures which will benefit you such as TENS, Ultrasound treatment, exercises. As you are a personal trainer I will advise you to start with light exercises and concentrate on developing your back muscles. Plan a regime to improve your muscle mass. Talk you your doctor and ask for CT/ MRI spine to rule out disc prolapse. Also consult obstetrician for planning next pregnancy. You can talk to your gynecologist about loss of bladder control. It may be due to reason as simple as urinary tract infection, or due to neurogenic causes. Hence, needs to be properly investigated. Hope I have answered your query. If you have any further questions I will be happy to help. Thank you,