Conversation: The conversation between human and AI assistant.
[|Human|] I have a sharp pain in the middle of the spine. I had a c section 2 years ago and have gained 25 kgs during my pregnancy at it was high risk and I was n bed rest. Though I have lost 20 kgs after that but the back pain lower and recently in the middle of the spine is unbearable. I also haVe neck ans shoulder pain for quite sometime now. I am a working women and most of my work involve working on the computer.i have the pain the middle of the spine at around the spot where I was give an injection for my c section. Pls advise
[|AI|]  Hi, I believe that a good physical workup should be performed to discover the most likely cause of the localized back pain. It seems that you've lost nearly all the weight you gained during the pregnancy, so mechanical causes of back pain are probably less likely.  Still a good examination to distinguish different types of back pain including the possibility of chronic pain following the c-section is worthwhile and can help identify even other causes of chronic low back.  Psychological stressors causing back, shoulder, and neck pain are very common and even physical stressors such as working on computers without proper back/neck support or not taking frequent enough breaks, or being tensed in the shoulders and arms while typing constantly can play into the picture.  In short, a number of potential causes can be in play.  A good physical examination by a good physician with proper imaging studies and other workup will do a lot of elucidate the root of your problem. Hope I have answered your query. Let me know if I can assist you further.