Conversation: The conversation between human and AI assistant.
[|Human|] I have had upper/middle back pain for years but for the last 3 years it has been getting worse...it s to the point that I am getting very little sleep and now I have bruising along my lower spine. The bruise is not painful and it was only discovered once I had a friend take a look. I am 32 years old, 5 5 and weigh 245 lbs, down from 265 lbs. I have no major health concerns, but was in a car accident as a young child which is when the back pain first started. I went to a chiropractor for many years.
[|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. Weight reduction will also be required for pain relief. 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.