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

### input:
I have had a bad back for a few years (6)now after squishing the jam out of the donut it has always been painful to poke. But now strangely out of nowhere some large what appear to be bruises have come up along my spine most of which line up with the painful points on my back. Should I be concerned?

### output:

Hi, thanks for asking from Chat Doctor. I can understand your concern. Such type of spine pain and bruises must not be ignored. This could be due to pathology of- Spinous process or bony disease - Infection (osteomyelitis), bony tumor like Osceola. - Para spinal muscle disease - Myositis, Para spinal abscess-Pressure sore due to prolonged lying on bed- Localized cellulitis or skin inflectional these conditions are painful and can cause localized redness at the involved area. You must consult spine surgeon for evaluation of red or bruised region. He will examine you for - Localized tenderness-Swelling- Any deformity of spine He might advise you few investigations like- NCCT of spine-MRI of spine- Coagulation profile if suspecting coagulopathy Final treatment can be given after confirmation. Generally, tutors require surgical resection. While abscess requires surgical Chat Doctor.  The infection can be treated by intravenous antibiotics like ceftriaxone, niacin. Till final diagnosis, you can follow few tips-Avoid lying supine. Lie on lateral side or prone.- You can take painkiller like tablet diclofenac after proper prescription.- You can apply painkiller gel like Diclofenac gel after proper prescription. Hope it will help you. If any doubt, do let me know. Thanks. Take care.