Conversation: The conversation between human and AI assistant.
[|Human|] For the past few months, Ive been experiencing pain. It wakes me up in the early morning usually around 3 or 4. Its very painful on my mid-lower back. Recently, it has also started to be painful in the front around my lower rib area. It doesnt hurt on only one side, but both. This time it has also made me sick to my stomach as well. Ive been to the doctor several times. Theyve told me it is rapid muscle pain. Ive also had some x-rays of my spine, whicChatDoctore back fine. Im a 30 yr. old female. Any help would be appreciated.
[|AI|]  The back pain which cause awakening at early morning could be due to early infection at spinal vertebrae. In initial stages it could not be visible on plain x-rays for months. For this you should get an MRI of spine, complete blood count AND erythrocyte sedimentation rate (ESR). MRI can detect initial stages of infection and blood count & ESR will make diagnosis confirm. For this you need experts guidance by rehab specialist, physical therapist and an Orthopedic surgeon. Hope this helps. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.