Conversation: The conversation between human and AI assistant.
[|Human|] Hi I am a 24 year old male am slightly overweight and have been experiencing lower back pain I have been sleeping on my stomach since as long as I could remember which I think is the main culprit for my problem my lower back has always been tight but the past couple of days the pain has been way worse than usual and now there is a red spot on my back where it hurts but that could be from me trying to massage the spot when I massage it feels like a lump is there that moves around
[|AI|]  Some orthopedists should evaluate you by physical examination. If it is a lump, origin and seat of lump should be ascertained, and if inflammation of mass in subcutaneous tissue(lipoma likely as it is moving and unfixed) is there, anti-inflammatory and pain relievers should be prescribed, if deeper tissues or spine involved then pyelogram/MRI ?CT-scan should be done-meningocoel is often a mobile or non-fixed lump lump