Mr. Mahmood Ahmed is a 15  years old male who has narrated his complain(s) which is mentioned below; <br><br>The patient first started noticing neck pain from the last 2 years. Neck pain has been intermittent during the course of time. Frequency of the said neck pain is 2 times a week There has been a recent change the neck pain which has improved the condition. The neck pain has improved for the last 2 days. Neck pain radiates to right shoulder. Neck pain is associated with numbness in right shoulder. Patient has no trouble in walking Patient has weakness in right arm with the neck pain. Patient has trouble turning the head to left. Patient has bowel control problem. Patient has trouble controlling bladder. <br><br><br>The patient has back pain for the last 1 years which is intermittent reoccurring 2 days a month. The back pain has worsened during the last 2 days. The pain radiates through the right buttock. The timing of the pain is constant. There is associated numbness that radiates through right thigh. Mr.Mahmood Ahmed reports imbalance due to the back pain. The patient reports that there is weakness in both her legs. The patient report trouble controlling bowel and bladder. The patient also does not report any improvement in mobility while pushing a grocery cart. Mr. Mahmood Ahmed can stand for 23 minutes and walk for 23 minutes. Mr.. Mahmood Ahmed's worst pain is 1/10, least pain is 1/10, and usually the pain is 1/10 in severity. The patient has an intermittent and sharp pain. The pain is aggravated by sitting and relieved by standing. The pain is usually better in the morning and worse in the morning. Mr.. Mahmood Ahmed previous history with pain goes back 3 weeks. The patient's previous pain radiated through the right thigh. The timing of the patient's previous pain was intermittent. <br><br><br>