<s>[INST] i pulled a muscle in my back a few months ago and when i get home from work it bothers me and its hard for me to get sleep at night sometimes. i dont have insurance and i cant afford to go to doctor tylenol and ibuprofen doesnt help anymore hot pads and creams dont help either [/INST] Hi, Thanks for using ChatDoctorIn my opinion you should stop worrying. For immediate relief have tramadol and serratiopeptidase. Do not lie down on soft mattress use hard one instead. When getting up from bed always take a lateral position first then hang your legs down first and then get up. DO not strain your self or over exert. Take complete bed rest for 2 weeks, just walk in room and come and lie down. After 2 weeks start with some back strengthening exercises. Do some hot fermentation if pain is unbearable. You will be fine in 2 weeks. </s>