Patient presents with complaints of thoracolumbar pain, localized between the thoracic and lumbar spine regions.  Onset of pain is reported as [Onset - e.g., gradual, acute, insidious] and began approximately [Duration] ago.  The patient describes the pain as [Quality - e.g., sharp, dull, aching, burning, stabbing] and rates its severity as [Severity on a scale of 0-10].  Pain is [Frequency - e.g., constant, intermittent, episodic] and is [Aggravating/Alleviating Factors - e.g., aggravated by bending, lifting, prolonged sitting; alleviated by rest, heat, medication].  Associated symptoms include [Associated Symptoms - e.g., muscle spasms, stiffness, numbness, tingling, weakness, radicular pain].  The patient denies any history of trauma, fever, chills, night sweats, or unexplained weight loss.  Physical examination reveals [Objective Findings - e.g., tenderness to palpation in the thoracolumbar region, limited range of motion, paraspinal muscle spasm, positive straight leg raise test].  Neurological examination of the lower extremities is [Neurological Exam Findings - e.g., intact, reveals diminished reflexes].  Differential diagnoses include musculoskeletal strain, degenerative disc disease, facet joint syndrome, and herniated disc.  Assessment: Thoracolumbar pain (ICD-10 code: M54.6).  Plan: Conservative management is indicated.  The patient is advised on activity modification, including avoiding activities that exacerbate pain.  Prescribed [Medications - e.g., NSAIDs, muscle relaxants].  Referral for physical therapy for targeted exercises and modalities to improve strength, flexibility, and pain management.  Patient education provided regarding proper body mechanics and posture.  Follow-up scheduled in [Duration] to assess response to treatment.  Further diagnostic testing, such as X-ray or MRI, may be considered if symptoms persist or worsen.