Conversation: The conversation between human and AI assistant.
[|Human|] The middle of my back really hurts and its on the right hand side, its been on and off for two years now, I did go to physio but it got too expensive. I think it may have something to do with posture , it hurts more if i twist side to side and it sometimes twinges... im worried as I dont know what this is or if it is going to last forever
[|AI|]  Hi thanks for the query. The complaints of pain in the middle of the back for two years and its presence on and off suggest that mostly it could be mechanical in nature. As you had mentioned something to do with the posture it is true. I would advise you to consult local orthopedic surgeon who might rule out other causes of back pain. If there are no other major causes of back pain i advice you to learn some back and abdominal strengthening exercises from your physiotherapist and continue doing them at your home. There is no necessity to visit physio daily for the exercise sessions. Finally, get good ergonomic chair which provides a good support to your back.