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Hi there,This is Dr Basu, experienced Internal Medicine Specialist.I am here to address your concerns and provide great service.
Severe pain will respond to IV pain medications well.
If no other symptoms like leg or arm weakness, tingling, numbness, then muscle sprain is most likely explanation.
Over the counter Ibuprofen 3 tabs with food every 6 hours along with warm heat can be tried for pain relief.
A muscle relaxant like flexeril will be better but will need prescription.Best wishes,It was my pleasure to help you today.If I have answered all your questions, Please rate my response Excellent (click on the 5th star).Please bookmark my profile for fast, reliable and authentic answers!This is the link to my profile:http://www.justanswer.com/medical/expert-mysticdoc/