Conversation: The conversation between human and AI assistant.
[|Human|] Hello I am 58 year old male. For about a month my middle back has been hurting on one side.I started out with neck soreness for about a coulple of weeks then one morning I awoke to stiffness in my middle back when I turn to either side.Now I have a small rash/pimples in the center of my back and get very intense stapping pain(like a knife) when I bend over in the same area that was just sore when I did any twisting motion.Also where the small patch is if I touch a certain area of it it feels very sore and feels like that is the center of the pain.Are the symtoms of that of a pinched nerve or could I have shingles? I dont have alot of rash but this hurts like heck now when I sit or bend over.??Thanks
[|AI|]  Hello, I have studied your case. You may need MRI spine for this. At old age there will be age related spondylitis but if there is any nerve compression then that may need specific treatment. I will advise you to do MRI instill time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. Yes rash can be due to shingles. Consult your doctor for clinical examination. 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. Wishing you good health. Take care.