I think this girl might need some serious medical attention, or maybe a little less photoshopping...

I don't know why its any of your business to point this out... She knows where to find medical help if she truly has issues...

Either way, she's cute.

I doubt it would even be that girl.

You are trying to make a joke, put a little smiley or some visual cues so we know you are kidding..

Its really hard to tell a person is joking or not sometimes... Thanks to this two dimensional forum, I can't see your body language or tone
.

Oh man, could you use some other term

Hi,

I have spinal stenosis & It's no fun!! I just felt a twinge in my lower  back, ouch!!