Hi,
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,
Best regards,
Luchuo, MD.