<s>[INST] hi, im 36 over weight unfortunately. i have been experiencing pain in my upper back on the left side, below my shoulder blade. when i bend my head forward it hurts even more or if i a certain way backwards it feels like i have no control of my head and it hurts. is this just a pulled muscle?? i do have lower back and sciatic issues also. [/INST] Hi, Welcome to Chat Doctor. After going through your query I think your You are suffering from chronic backache. Treatment of back pain is exercises, Cartilage D once daily, NUROKIND GOLD ONCE DAILY and analgesics (diclofenac 100mgSR). Sometimes vitamin D deficiency is the cause so get your vitamin D checked. If it is low then vitamin D supplementation(On DK 60K weekly with milk) can be taken. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. To further investigate MRI of the region is advised. I think your query answered. Welcome to any follow-up query </s>