There are two different points of origin of pain.. one is towards the lower back, possibly due to local inflammation or instability towards the lower end of spine.. Cervical and shoulder pain may be due to muscle spasm of lower neck muscles causing radiating pain in shoulder..
Next Steps
You can start with hot fomentation, take analgesic, muscle relaxant, anti inflammatory medicine, apply analgesic ointment locally, start with physiotherapy like Local US, SWD.. If not relieved, we will plan for some investigations like X ray, MRI..
Health Tips
Avoid heavy work, avoid sitting down, avoid forward bending, avoid Indian toilet..