Hi I have a backache which has persisted over 8 months and i happens everytime I lie down. While I sit/stand I do not expereince. I also feel extremely exhausted and drained out all the time. I develop a pain in the neck and knees ocassionally. When I got a test done, the Vitamin D has come insufficient (17.89). Please advise.
Welcome to Chat Doctor. Start vitamin D3 sachets or d3 60k tab. Once weekly. Intra muscular B12 injection will be helpful. Apply local NSAID gel and oral NSAID WTH muscle relaxant will give some relief. Recurrent history requires x-ray for further evaluation. Eat good nutritious, high calcium and protein diet. Take morning sun bath. Start exercise regularly after getting cure. Consult your orthopedic for better medical management.