<s>[INST] Hi Doctor,  how are you I am fine are you ok my name is David Lewis nice to meet you am having trouble with my back and as wasbI carried some heavy stuff up my stairs about weekends ago for my partner and everything was going ok after I did it for her and then couple of hours later I started to get really serious pain my back and still hurts me now when I sleep and sneeze and cough and when I walk sometimes I was wondering can you help me please Doctor.  Thank you David Lewis [/INST] Hello, You seem to be having back muscle spasm due to weight lifting. It usually happens as you may not be a regular weightlifter. Treatment is rest on the hard bed for 3 to 4 days. Avoid forward bending and weightlifting. Start muscle relaxant tablets twice a day with an anti-inflammatory like ibuprofen for five days. Hot water fomentation also helps. Hope I have answered your query. Let me know if I can assist you further.   </s>