Conversation: The conversation between human and AI assistant.
[|Human|] I ve had some middle back pain for the last few days. It hasn t been a constant pain just very painful when I move certain ways. Today the pain has become more noticeable all the time not just when moving. The constant pain isn t too bad. I was rubbing my back and hit a very sensitive spot and have realized that I have a knot/lump that is very painful to the touch right on my spine In the middle of my back. What could this possibly be?
[|AI|]  Dear-thanks for using our service, the back pain that you are describing could be secondary to a pinch nerve, irritation of the muscles surrounding the vertebra, that can create a knot from the contraction. You can try anti-inflammatory as ibuprofen and hot pad trying to relieve the inflammation and pain. Physical or massage therapy can help this too. Local cream that has menthol can improve your pain. If you don't feel better in one week, you should see your doctor for an evaluation with X-ray and possible MRI of the area. I hope my advice has been helpful Chat Doctor.