<s>[INST] I have been dealing with pain in the middle of my back for some time, it s like if I have eaten or drank anything cold quickly it hurts like what other people call brain-freeze but it lands in vthat area of my back every time. It gets sore if I don t get up early, I guess, if I oversleep....but, lately it woke me up with severe pain, It wrapped all the way around my ribcage and my back, I thought I might be having a heart attack ....I felt like if I vomited or had a bowel movement it might help but, I could do neither. What could this possibly be? Heart? Gas? I had a clinical massage therapist say that area has scoliosis......any guesses or answers? Thank you so much [/INST] Hello, The causes for pain in mid-back are:1. Injury2. Blunt trauma3. Sprain or strain4. Lumbar Spondylosis5. Spine related problems6. Improper posture can take tablet Diclofenac. Apply diclofenac gel or cream. Also, apply ice locally and do x-ray and MRI of back. Treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with orthopedic. Hope I have answered your query. Let me know if I can assist you further. </s>