Hi, Persistent back pain can be debilitating and significantly impact daily activities. It s important to continue working with your healthcare provider to determine the underlying cause of your pain and develop a treatment plan. If all your previous tests have been normal, your doctor may suggest other diagnostic tests or imaging, such as a bone scan or a CT scan, to identify the cause of your back pain. Additionally, a referral to a specialist, such as an orthopedic or pain management specialist, may be necessary. In the meantime, some measures that may help alleviate your pain include: - Physical therapy: A physical therapist can provide exercises to help stretch and strengthen your back muscles, which may reduce your pain. - Heat or ice therapy: Applying heat or ice to your back can help alleviate pain and inflammation. It s important to use heat or ice therapy according to your doctor s recommendation. - Pain relievers: OTC pain relief medicines like Acetaminophen, Ibuprofen, or Naproxen could reduce pain and inflammation. However, it s important to follow the recommended dosage and not exceed the maximum daily dose. - Relaxation techniques: Practicing relaxation techniques like deep breathing or yoga may help reduce stress and tension in your back muscles. - Lifestyle modifications: Maintaining a healthy weight, practicing good posture, and avoiding activities that may exacerbate your pain may also help alleviate your back pain. It s important to follow your healthcare provider s advice and treatment plan for your back pain. If your pain continues to worsen or interferes with your daily activities, it s essential to seek medical attention promptly. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Priyanka, General & Family Physician