<human>: I have middle back l pain only while i sleep...T 10-12....i sleep on my back for about 3-5 hours then wake up in excrutiating pain...toss and turn from side to side without relief. i have no pain during the day...run 6-10 miles a few times a week without pain. i hope you can help Toni
<bot>: Hi, thank you for posting! I have gone through your query and I understand your concerns. According to your symptoms, I think that you suffer from lumbar arthritis. The diagnosis can be determined by the results of the following tests:- Lumbar CT-scanner (computed tomography)- Complete blood count-Fibrinogen test-ESR(erythrocytes sedimentation rate)- Urine testate treatment is made with non-steroidal anti-inflammatory medications, painkillers and chiropractic procedure. You should contact your neurologist to discuss more about the diagnosis and treatment. Feel free to ask for anything unclear. All the best,