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

### input:
I have a severe burning in my back that radiate to the chest.  Painful spine and upper back when I press my back on chair?  I have had a neck, mid back and lower back Mri.  All came back pretty normal, but the burning and pain is there daily, but worse at night.  I have had 2 months of chiropractor and nothing seems to take the burning and pain away.  I also get very hot and sweati. What do I have?

### output:

Hi welcome to ChatDoctorI understand your query and concern. Burning pain in the back could be related to pathology in the spine which should be treated in multimodal approach which can be probably suggestive disc prolapse. I advise you to get an MRI spine, complete blood picture, ESR,Urine culture immediately to confirm the diagnosis. I also advise you to get an ECG,2D Echo as a part of routine screening of your heart. In resistant cases you may also need to get lumbar puncture and CSF analysis for exact etiology. You may need to get a chest x-ray and AFB for sputum analysis to look for any tubercular loci. You may need to use course of antibiotics like Cephalosporins, Analgesics,NSAIDs immediately by consulting your doctor. You may also need to use Pregabalin twice daily for 3 months by consulting your neurosurgeon. Avoid excess strain. You can practice Yoga and Physiotherapy by consulting your Physiotherapist. Diet rich in fruits, dates,Vegetable salads, Chat Doctor. Bed rest for 3 months will be helpful. Water bed for sleeping with cushions is helpful. If still symptoms persist you may need surgical approach. Consult your surgeon for expert management. Post your further queries if any, Thank you