Hi, thanks for writing to HCM. Generally, sudden and sharp pain from the spine suggests that it is originating from the soft tissue structures like muscles or ligaments. Propably, your sudden sharp pain may be attributed to an abnormal stretching of the paraspinal muscles or ligaments owing to an odd posture of your spine while sitting or sleeping. Use of analgesic medications and ocassional muscle relaxants will help in alleviating your pain. Gentle local massaging of the painful area with a painkiller cream will provide good symptomatic relief. Apply ice to the painful area and after any activity. Ice will help calm the inflammatory response and stimulate blood flow to the area. Before activities, gentle heating can help loosen the muscle. Apply a heat pack to the painful area prior to stretching or exercising. As a general rule of thumb, remember to heat before an activity and ice afterwards. Therapeutic modalities such as Ultrasound, Massaging and specific exercises will be helpful. Hope this information is helpful. Good day