Conversation: The conversation between human and AI assistant.
[|Human|] i have severe back pain I dont know what i did. I was on my knees at work and leaned forward and over and got a severe shooting pain in lower back. I cant even stand up straight now and get comfortable while sleeping its only about 18 hours since it happened. What can i do, I have tried ice for 15 minutes but it seems to get worse after.
[|AI|]  Hi welcome to the Chat Doctor According to history provided you are having severe back pain.... So for that examination of nerves, reflexes etc. should be checked The causes can be.... -ligament, muscle strain -disc bulging -arthritis -ankylosing spondylitis (if walk by leaning forward) -infection spine -tumor etc..... Mostly it might be related to strain, but examination needed as pain is severe MRI investigation done If needed According to cause further specific treatment given Until then ibuprofen can be taken for five days Take care Hope your concern solved Consult orthopedic surgeon for examination and discuss all these