<s>[INST] I have been having pain in my lower back, hips, and glutes (which is not unusual for me--I have been dealing with lower back pain for several years). For the past two weeks my pain level has been higher and I also have occasional stabbing pain in my left knee and ankle. Today I suddenly developed freckles on my legs for the first time ever. I had some sun exposure 2 days ago but did not get them on my chest or back, just my legs, where there was no significant reddening or sunburn. A month ago I traveled to Africa. Two weeks ago I pulled a tick off myself. Could this be more than just my typical back pain? [/INST] HiT hank you for asking Chat Doctor. I have gone through your query. Your problem can be due to intervertebral disc herniation or osteocyte Chat Doctor.  It will radiate to knee and leg. You should get an examination with orthopedic which will give clue for that and an X-ray followed by MRI of lumbosacral spine might be needed to confirm that. For such condition i advice NSAIDs like diclofenac muscle relaxants like cyclobenzaprine and neurotrophic  </s>