<s>[INST] due to a back injury from work my fiance saw a specialist and went to physical therapy seemed to work . He has recently has had issues with his back...back pain from middle of sine to butt muscles radiating pain down neck getting migraines has hip pain leg pain. there is also a burning sensation in his legs and feet which leads to numbness in feet. he has a feeling of unsteadiness with his balance has shoulder pain,recent numbness in arms and hands. Knees are extremely sentative(if slightly bumped extreme pain) stiffness from lower back to neck. pressure on bladder = weak urine flow [/INST] hi,thank you for providing the brief history.A thorough neuromuscular assessment is advised.As in the past the physical therapy was helpful, I will recommend to undergo same physical therapy again, for The upper limb, lower limbs and spine area. Also , for bladder related issues you may need an abdominal scan to understand the physiological status of the bladder. Also and MRI of spine is advised to see if due to any pinch nerve the bladder is giving any symptoms like the neurogenic bladder.Also ,with physical therapy again your fiance will receive the same health stauts of recovery like before.RegardsJay Indravadan Patel </s>