<s>[INST] how are you? long time already i have problem with my backbone and i have a treatment one year but my heart still the same it just reduct little bit. i still heart , my muscle paint 4-5 i was scanned already and i want to operators but  i afraid the result . so i need your common . sorry my English not i can explain more anything that i want to tell you please help me i felling i lost haft of my life already.regard you piden from cambodia [/INST] Hello, Thanks for your query.From description it seems you might be suffering Mechanical back pain.     It is a common medical problem.Mechanical back pain implies the source of pain is in the spine and/or its supporting structure. The surrounding muscles and ligaments may develop reactive spasm and pain.1. Lie on hard bed2. Taking muscle relaxants in combination with mild pain killers will help you.3. Hot water fomentation to back 2-3 times a day and applying a local analgesic gel on the affected area will also help in providing a relief.4. Physiotherapy - Interferential therapy (IFT) to your back will help you relieve the pain5. Avoid driving, leaning forward, sitting for prolonged time or lifting heavy weights. These activities can increase your back pain.You can start with swimming and mild aerobic exercises. These do help a lot in the back pain. Do adequate warming up before starting the exercises daily.Taking calcium and vitamin D 3 supplements will also help in early recovery. You can get these prescribed from your orthopedician.I do hope that you have found something helpful and I will be glad to answer any further query.Take care </s>