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Massage the area gently to relieve pain.
You can also keep a hot pad on your back.
Visit a doctor and get it examined.
Check if you could have calcium deficiency.
For pimples ,
Keep your skin clean.
Drink lots of water , this will help make your skin healthier.
Eat less of sugar and oil.
As your body is going through a lot of hormonal changes , visit a dermatologist and get your skin examined.