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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.
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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.