What could be the cause of severely bad exaggerating pain

Patient : What could be the cause of severely bad exaggerating pain and discomfort in the lower posterior back? more pain on left posterior than right posterior but both still really badly hurt. The pain is from around t12 to the iliac crest region. Nothing relieves the pain whatsoever. What should I do? Its getting worse by the minutes and I can't sleep. Took alive around 8 he's ago and just now took ibuprofen. Tried realizing in hot water, tried massage,tried ice, tried different positions and nothing seems to help.
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