<s>[INST] I want to get a second opionion my middle part of the back hurts so bad all the time.  I wake up in the middle of the night and I am on Zolpidem too.  But any time I wake up and the pain I can 't sleep.  I went before got x-rays and everything all came back normal.  I went to a chiro and that helped like wonders for about 3 weeks.  Now its back to where its going again.  I'm starting to wake up with just pain.  Almost like if someone would twist me the oppioste ways that would help.  But 3-4am I don't think no one wants to come over.  I have a finaciee but she is not strong enough for it. [/INST] Hi,Your back muscles are week and so there repeatedly end up with spasm. Go back to your chiro for pain relief. Once pain is decreased start strengthening exercises for back with a physios assistance. Correct your posture at work. </s>