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

### input:
Sir, I have randomly arising pain just near left side of Spinal Cord in the middle part of back bone. But sir I Have a problem, that my body behavior is not easily observable by Human hand , Only High resolution electronic machines can justify me. Sir is my treatment possible, please suggest me. SHRI MANI Er. BSNL Muzaffarpur

### output:

Dear Sir., Thanks for writing to us. The history indicates that your backache location must be in the Horace lumbar/upper lumbar region. There is no mention regarding the type of pain/radiation/history of evening rise of temperature/history of longstanding caught/family history of Koch's/history of Trauma/any h/o bowel and bladder disturbances. All these are relevant to pinpoint a diagnosis. The investigations include baseline Blood Counts/Chemistry/Urinalysis/Chest X-ray PA View/lateral/Lumbosacral Spinal X-rays/MRI at the higher end of investigations. The differential diagnosis could be due to compression of spinal nerve roots Radiculopathy due to (A)PIVD-Prolapse of Intervertebral Disc(B)Spondylosis(C)Ankylosing Spondylosis(D)Koch's spine. Treatment;-(1)Rest to the affected Part, (2)Treating the cause(3)Physiotherapy by SWD and Traction(4)Temporary Immobilization Using Lumbosacral Belts(5)Pharmacotherapy by using opioid analgesics such as Tramadol //Skeletal Muscle relaxants such as chlorzaxazone//(5)Spinal Minimally invasive endoscopic surgery. Avoid abruptly bending/lifting of weights/squatting/use a Hard Bed Rest. Wishing you a speedy recovery., Best Regards., Chat Doctor. 