Conversation: The conversation between human and AI assistant.
[|Human|] I have severe pain in my higher back on the right side.  I have had it for three days and do not recall straining or twisting it.  lying flat seems to help, otherwise No position relieves the pain.  It takes my breath away like an ache that developes into a severe pain.  What could it be?
[|AI|]  Hi there. I would advise you to firstly get a X-ray of the back done and get it evaluated by an orthopedic. A pain which is relieved by rest could be bony in nature as well as due to muscle spasm. The first and foremost thing to do is rest. Try to curtail your activity as much as possible and take adequate rest. A good anti-inflammatory and muscle relaxant like Nicosia MR along with local heat therapy and analgesic gel massage. Tramadol can be taken if there isn't complete relief with the above. Final treatment depends on the X-ray diagnosis. I hope my advice has helped. Good luck