
I Work On My Feet As A Chef And My Back And Hips Are Hurting

Require further evaluation. Please see detailed answer.
Detailed Answer:
Hello,
I have gone through your query and here is my advice.
As per your history, you have BPH and now having same symptoms urgency to pee.
Please let me know,
Do you have burning while urination, fever, pain in abdomen?
For that I would suggest you to consult with urologist for detailed clinical examination. He may procure complete hemogram, urine analysis, urine flow study, ultrasound abdomen sos as per evaluation to rule out urinary tract infection/ increased prostate size.
For degenerative changes in spine, I would suggest you to repeat MRI back after spine surgeon consultation. Further treatment mainly depends upon the underlying disease severity.
Till then for pain you can take tablet ibuprofen 400 mg. Appy diclofenac gel locally. Avoid forward bending. Use lumbar belt. Continue physiotherapy.
Hope I have answered your query. Let me know if I can assist you further.



Please see detailed answer below.
Detailed Answer:
Hello,
Thank you for your reply.
As per your history, as you don't have burning while urination so it may not be urinary tract infection. So kindly consult with urologist and get done urine flow study and ultrasound.
If possible,kindly upload bone marrow biopsies report. As you are having stiffness specifically in the morning, so kindly consult with rheumatologist. He may procure RA factor, c reactive protein, ESR to rule out rheumatoid arthritis.
For spinal stenosis, kindly follow all measures as suggested earlier.
Hope I have answered your query. Let me know if I can assist you further.

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