Dear Sir., Thanks for writing to us. The history indicates that your backache location must be in the thoraco lumbar/upper lumbar region. There is no mention regarding the type of pain/radiation/history of evening rise of temperature/history of longstanding caugh/family history of Kochs/history of Trauma/any h/o bowel and bladder disturbances. all these are relevant to pin point a diagnosis. The investigations include baseline Blood Counts/Chemistry/Urinalysis/Chest XRay PA View/lateral/Lumbosacral Spinal X-xays/MRI at the higher end of investigations. the differential diagnosis could be due to compression of spinal nerve roots Radiculopathy due to (A)PIVD-Prolapse of Intervertebral Disc(B)Spondylosis(C)Ankylosing Spondylosis(D)Koch s spine. Treatment;-(1)Rest to the affected Part,(2)Treating the cause(3)Physiotherapy by SWD and Traction(4)Temporary Immobilisation Using Lumbosacral Belts(5)Pharmacotherapy by using opioid analgesics such as Tramadol //Skelital Muscle relaxants such as chlorzaxazone// (5)Spinal Minimally invasive endoscopic surgery. Avoid abruptly bending/lifting of weights/squatting/use a Hard Bed Rest. Wishing you a speedy recovery., Best Regards., Dr Lt Cdr ASN Bhushan, Ex-Navy.