Hi, welcome to our site. I am Dr Saumya Mittal, MD. Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query The pain you described seems more appropriately localized to the back, not the skin. The backache with sharp shooting pain radiating to the skin is a typical feature of nerve damage to the back. In this relation, I will therefore suggest testing an MRI of the spine. Reason being its a more detailed study than a normal x ray, and unlike the x ray, does not tell us about the nerves. Also, an nerve conduction velocity (NCV) may be done if the skin affected is over the upper/lower limb. This further tells us about the location of the pain. If found affected, we may add a medicine like Gabapentin/pregabalin and you may need to undergo physiotherapy. In case you are concerned about your skin, please let us know if their are changes in skin, like the texture and the colour of the skin. We may be able to consider the information with pictures and let you know more about it. I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this) Best of luck. Dr Mittal. MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology) Consultant Physician and Diabetologist JS Hospital Ex Apollo Hospital, Delhi Ex Kailash Hospital, Noida