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If the cause is a trauma or if it is a chronic pain, more evaluation might be needed to check the probable cause of injury.
Bone pains or disc pains arising from the vertebrae might even need surgery unlike muscle pains.
Improvement is usually seen after course of medicine is completed, or in rare cases might require neuro-surgery for releasing pressure on the spine and correcting the problem.
Few cases do not heal and might require Physiotherapy for helping with the pain.