Conversation: The conversation between human and AI assistant.
[|Human|] I ve had a stabbing pain in my back under the left rib cage. It is intense upon turning, getting out of a chair, reaching in any direction. . Actually takes my breath away. If feels like a horse kicked me. Saw my primary, she gave me an anti-inflammatory injection on right buttocks and flexoril. No significant improvement. Suggestions?
[|AI|]  Hello, I have studied your case and I think that it can be back muscle spasm. In this condition there is severe pain in back and patient has difficulty in bending forward and walking. I would suggest you to follow these steps.1. Hot water fomentation.2. Back muscle relaxant like Moral or MySpace.3. Volini gel local application.4. Physiotherapy in for of back muscle strengthening exercises and short wave diathermy is also effective. I hope these steps will be helpful for you. Let me know if there is any other followup questions. Thanks