I believe your complaint deserves a more keener evaluation and specific diagnosis before any appropriate treatment could made. The causes could range from possibly infectious, inflammatory or traumatic causes. Knowing whether there is a recent history of trauma or not is important. Associated symptoms like fever, weight loss
, associated joint pain, weight loss, fatigue
could be important.
Spinal TB is an option to be eliminated in this case. Any spinal or paraspinous abscess
could present as such.
Doing a spinal X ray (lumobospinal), a CT Scan
scan and probably an MRI, depending on the case could be quite helpful. Complete blood count
, markers of inflammation (ESR,CrP, RF, HLA27) could be of utmost importance, associated with a careful clinical evaluation in making a correct diagnosis.
A visit to an Internist or surgeon could be of utmost importance in putting things together for a more comprehensive, specific and exact diagnostic and management plan.
Thanks as I hope this helps,