### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My husband has a moderate pain on the left side of his back about half way up his back next to his spine. It gets better throughout the day but it is much worse when he lays down at night. It keeps him awake and wakes him up. He is 65 very active farmer and mechanic. He has been going to the dr every year for his annual checkups. The last one in Feb 2014. He has a dr appt but can not get in until Oct. 8th.This morning he said that the pain has moved a little. Should I take him into the dr earlier that Oct?

### output:

Here you need to understand persistent back pain could be because of a couple of reasons it can be because of soft tissue weakness at the back or else there might be a problem with his spine and disc to check you need to see whether he has back pained along with the pain in the legs as well does he have any numbness radiating pain to the legs if no then it is only a muscular pain which is at the back. There could be another reason for having this back pain is weakness of the bones that is basically a deficiency of calcium as well as vitamin D because of his age factor.to have relief from this back pain at home He can use frequently as well as regularly hot and cold pack which will help him to relax the back by relaxing soft tissues as well as have the healing effect on the soft tissues. Which will help him to reduce the pain. Here I also suggest visiting physiotherapist whenever its possible and take a proper exercise program for spinal strengthening and stability, along with stamina.at any point of time if you feel the pain is increasing and going to the legs along with numbness feeling then visit an Orthopedic doctor as early as possible and follow the evaluation process with MRI or X-ray or blood test and take the necessary treatment whatever the doctor suggest. Take care.