<s>[INST] Hello doctor, I sustained a back injury three years ago. I was standing on the staircase of a bar when a large woman lost her balance, she grabbed and twisted my arm while placing her full body weight on my back. I have had recurrent muscle spasms all the way down to my back ever since, and I have to go frequently to a physiotherapist to treat this pain. I had an MRI of my thoracic and lumbar spine last year. I was told that there was mild scoliosis in the thoracic spine and that there was no large disc herniation. Could this scoliosis have been caused by the injury or by the fact that I have pectus excavatum? I have attached my MRI scans. Can you please clarify whether there are any bulging discs which may be causing, or contributing to the recurrent muscle spasms and muscular pain in my back? I have been unable to clarify this issue with the radiologist who assessed my scans. I would also be very grateful if you could advise an effective treatment in eradicating these recurrent painful muscle spasms. [/INST] Hi. For further queries consult a radiologist online --> </s>