<s>[INST] I am having some discomfort in my upper/middle back, and chest when I breathe in. A little bit of tightness in the throat as well. I was moving some furniture over the weekend and thought maybe I pulled something but now I don t know. I am 48, female, smoker, diabetic, high blood pressure as well. All those things have been doing well and under control. This pain happened this weekend and continues. Thoughts? [/INST] Hello, By your history and description, the possibility of musculoskeletal pain is more likely. -So apply warm water pad on affected areas of chest and back.-Avoid heavyweight lifting and strenuous exercise. -Avoid sudden jerky movements of chest and back. -Take simple painkiller and muscle relaxant Chat Doctor.  -Don't worry you will be alright with all these. Hope I have answered your query. Let me know if I can assist you further.  </s>