<s>[INST] Hello, I have just been thrusted into a divorce and my unhealthy response was to go on a crystal meth binge for almost a month, maybe three weeks. Today is week two of 100% abstinence of the poison. Although, 1) I have a dull pain under my lower left rib that seems to have other similar sensations poked around my left thoracic area like following the rib around back. And 2) Around the center of the back, I can hardly reach the area, lives a dull pressure tingling feeling as well. My work is very physical and I don t possess the best posture while doing bent over repetitive motions cleaning carpet. Is this cause of a trip to the ER or can I wait 3 weeks to meet my primary care physician? Thank you in advance for any one to respond. zeswa [/INST] Thanks for your question on Chat Doctor. I can understand your situation and problem. Your symptoms are mostly due to musculoskeletal cause because of your work. But since you were taking poison for 3-4 weeks, better to rule out cardiac cause first for your left sided chest pain. So get done ECG first. If ECG is normal then no need to worry much for cardiac cause. Your symptoms are due to musculoskeletal pain. So try to follow these steps for better symptomatic relief.1. Avoid heavyweight lifting.2. Avoid strenuous exercise.3. Avoid bad postures in sleep.4. Avoid movements causing pain.5. Start painkiller and muscle relaxant.6. Apply warm water pad on affected site.Don't worry, you will be alright.Don't start poison again. </s>