<s>[INST] whenever I lie on my back through the night I cant get up. I have to used my hands and upper body to pull myself over onto my side to then fall to the floor, before I can slowly stand up. The pain in my lower back and hips is very sore. when I am up and about it is better, if I lie on my side in bed with a pillow between my legs its okay too but I can never stay that way.. I always end up waking on my back. having more and more sleepless nights now due to the pain getting worse. and Im only 33. Any ideas what this could be? [/INST] HiT hank you for asking ChatDoctorI have gone through your query. Your problem is most likely osteocyte Chat Doctor. A physical examination with an Orthopedic will give clue for that and an X-ray followed by MRI might be needed to confirm it. For such conditions I treat with muscle relaxants like thiocolchicoside and NSAIDs like Diclofenac. I also advise muscle strengthening exercises and Physiotherapy along with this. In case of no improvement a surgical correction can be considered. Hope this may help you. Let me know if you have any further query. </s>