Conversation: The conversation between human and AI assistant.
[|Human|] I ve been having pain in my back. Just below the shoulder blades, on the left side, radiating from the left side of my body. I m wondering if it is just muscle pain, or if there could be something going on internally. The pain is kind of nagging, and has been pretty constant for several weeks.
[|AI|]  HIF you have localized back pain with-no neurological symptoms like numbness, paresthesia, weakness in limbs etc., my advice is: - intensive physical therapy initially under supervision of a physiotherapist and then at home.- avoid forward bending, lifting heavy weights etc-take an analgesic like diclofenac or something which suits your body for 5-7 days-take muscle relaxant for same time as analgesic to relieve muscle spasm-ice packs at the site of pain, muscle spasm-local analgesic spray can be used, but no massage is required to be let me know in a week time how you are feeling. I will actually ask you to get x-ray of involved region of spine (app & lateral)and send reports across to me so that I can advise further in a better manner. Do not hesitate to contact me if you need any further assistance