<s>[INST] Im a 44 y/o woman in excruciating pain all day every day.  I do NOT look forward to going to bed because the pain doesnt get better. I have a lot of sever back pain in my lower back that extends to my right hip/leg. I can barely bend over to tie my shoes as its painful to stand up. Its painful to sit/sleep. And if Im washing dishes, in a bout 5min time the pain crawls UPward to my back and the back of my neck (I get a lot of pressure on the lower part of my neck to the point it hurts to lay my head back).  Ive tried the OTC and nothing is working to subside the pain.I enjoy biking...but even bending over t grab the handles is painful as is the sever pain behind my left knee. I enjoy walking a lot...but not w/o sever pain in my hip and back. And the heavy swelling in my hands and feet.Im 44/ 511 (I dont know what I weigh.. but I look like Im between maybe 150-180) HWPI dont have insurance due to my company downsizing....so I can afford to see a Dr. at this time. But this pain isnt just painful, its scaring me.I dont sleep.....In about a weeks times, Im lucky if I can close my eyes for 5 hours of rest because of this pain.Im also noticing (in the last 12mnths)that Im having trouble breathing if Im climbing a high steep of stairs/or hill top.This has never been an issue for me. But in the last yr. Ive been getting short of breath in a short span of time during my walking/jogs/climbs... Now for an GYN dr.....Im noticing that my menstrual are NOT reg. they are coming more early. NOT with cramps as thats not something Ive ever experienced. In fact the tender breasts dont happen either. Rather, and dont laugh. my body (no matter how healthy I eat)...but prior to my menstrual.....my body is always every day/every hour/almost min after min......seems to be producing a lot of gas. To the point my whole abdominal/chest area is painful/bloated.This started about 6+ mnths ago.....and its not comforting at all. Its very painful and it doesnt help the back pain I already am dealing with. I just need someone to help me figure out whats wrong. I try to get through everyday......as healthy living as possible...but the pain feels like its crippling me.......I need some help and answers...Anyone?ThanksSharon [/INST] Hello, Thanks for your query. I suggest you to follow the below-mentioned measures to reduce your back pain-- Usually 1-2 days of bed rest will calm severe back pain. Do not stay off your feet for longer, though.- Avoid lifting weights as it imparts more strain on your back-Change your daily activities so that you avoid movements that can cause further pain, especially bending forward and lifting as it will worsen the intervertebral disc problems. If you want to bend forwards, do it with your hips and knees flexed.- Use a lumbosacral back support to stabilize your spinal muscles and to provide support for your spinal column.- After the initial pain has subsided, remedial exercises to strengthen the spine are very important to restore normal spinal movements and muscle strength. The main aim of exercise is to encourage mobility, reduce muscle spasm, prevent further deterioration in the muscles and speed recovery.- You should maintain an optimum body weight to decrease the strain on your vertebral column causing more degeneration and arthritic changes.- At times, spinal steroid injections and Facet blocks will help in alleviating the lower back pain. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care </s>