I am 22 years old female. Symptoms are back pain and knee pain. Knee pain has increased from 3 weeks. Before 3 weeks also slight pain was present generally after waking up and got relieved after walking. From 3 weeks pain is gradually increasing day by day and difficulty in walking and standing. Back pain started from 3 weeks. Back pain is also gradually increasing and mainly lower back pain. From 3 weeks I mostly remain lie down. Now its difficult to sit for eating and stand for necessary activities. Vitamin d level found 28 nmol/l 2 weeks back. I have started taking cholecalciferol 60,000 i.u. Weekly and had taken 2 dose of it till now. But pain is is increasing day by day. Is pain because of vitamin d deficiency or some other cause?

Dr. Bhavesh JaniPhysiotherapist10yrs exp

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Hi, sad that you have pain in such a young age. By considering your age and weight that you have mentioned in your profile it is less likely to have you any kind of vitamin or minral deficiency or any other degenerative problem because of which back and knee pain occurs. Most common couse of back and knee pain in such a young age is mechanical that is due to poor posture, still back ,weak muscles etc. Also there is strong possibility that both your pains are interconnected because both are started at same time and it is clinically relavant. My suggestion is to consult nearby physiotherapist for further examination and evaluation. You can also try following 1.do not bend forward. Specially first few hours in the morning. Try to maintain natural low back curve. 2.sit for short period with good posture. Use lumbar roll for support to decrease load on your back. Specially if work at desk ,going for a long drive or plan a trip. 3.avoid prolong positioning or take a break while sitting like a small walk or slight extension in your back 3 to 4 minutes in standing. 4.avoid setting on ground cross leg and do not sit on a chair or table without back support. 5. Avoid any movement or exercise which increase your pain specially radiating to knees or legs. 6. Avoid wearing high heels. They change pelvis position and place load on lumbar spine 7. Most important do mckenzie back extension exercises you can google it for a detail every 2 hourly for a one week. 8.you can also do hot water fomentation for your back and knee. Also applied ointment like volini for a painful area. Try this for a one week and if no improvement then you willll have to consult nearby physical therapist. Or you can consult me also online. Hope this will help you. Wishing you a speedy recovery thanks if no improvment than.  

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