<human>: Hi for the past 3 days I have had a pain in lower back on my right side just at bottom of the ribs. It feels all stiff and tight and I get spasms if I move around. It also hurts to stand straight,bend down and stretch. It takes me ages to sit down or get back up. The pain relieves for a while with heat and paracetamol. I also have tight neck muscles and upper shoulder pain.
<bot>: Hi, I had gone through your question and understand your concernsWith such presentations in my clinic, I would first reassure the patient and I prefer to exclude certain problems as : First condition: Myositis and generalized musculoskeletal spasm due to overactivity and for this condition I suggest rest and muscle relaxant medication before sleep, Warm fomentation and NSAID when needed. Second condition :Cholecystitis as the pain usually radiates to the back and shoulder and I suggest doing abdominal ultrasound to exclude gall bladder problem Third condition :Renal problem as real stone or Infection also should be excluded by doing abdominal ultrasound