Conversation: The conversation between human and AI assistant.
[|Human|] Hi I have been experiencing a achey back off and on for a few months. Currently it is very achey, mainly underneath my shoulders and the right side of my lower back which feels swollen. Seems worse when inactive especially at night which is making it difficult to sleep.
[|AI|]  Hello, I have studied your case. I will advise MRI spine to see for any nerve compression leading to back pain. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. As MRI shows disc compressing on nerve root then surgical decompression is permanent solution. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care.