Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I have a massive pressure around the whole base of my skull in the back, my ears or almost completely swollen shut & I have an isolated pain directly in the middle of my back...what could this be?...I think it has something to do with an infection from a bad tooth...Could this be possible?
[|AI|]  Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As mentioned by your symptoms you first need a thorough neuromuscular assessment post which needed the MRI may be advised. As the pain is in the center of the back it can be an associated symptom of the cervical spine. As due to poor posture and cervical spine injuries the pain may go up or down based on the soft tissue injury involved. Also, by understanding the soft tissues involved the further management can be planned. If the pressure in the head and ear is like an ache then may be treated with simple medications. If the pain is assessed unusual then further assessment will be advised. For pain in the middle of the back you can undergo physical therapy for further management. Regards. Jay In Chat Doctor.