<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi, I have a very severe pain in my left butt cheek which really only hurls while I am lying down. I am a 50 yr. old woman, and I didn t lift anything. It doesn t seem to radiate out too far to my back. I can sit and walk without difficulty; although, I do get an occasional stabbiing pain from that area. It just started about a week ago. Any help you can give would be greatly appreciated. Thank You!  <response>: Hello, As what I understand from the history is this could be a disc degenerative changes happening in the lumbar spine leading to the symptoms you are facing now. As your age is 50, and we can suspect some minor major changes of the lumbar discs. Having a physician examination by an orthopedist and an MRI will be surely of great help. Most cases respond well to conservative management like - medication and exercise. For time being use hot water bag, lumbar brace and rest. After a week you can slowly start strengthening exercises if the pain is below 5 on a vassal of 0-10. In my clinical practice, most cases reports with similar complaints perform better with conservative management. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. 