I have seen many people with spinal pain. I can't tell you how important an in-person examination is needed to help you. More details are needed; the nature of the pain physically and subjectively. Back pain can come from bones, joints, ligaments, discs and can be affected by the function, alignment and movement and of all of these.
Answered 10/16/2021
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He may have scoliosis that could explain the back ache and what you described as, "not centered". Visit this site for information and suggest that he see a doctor: https://www.mayoclinic.org/diseases-conditions/scoliosis/symptoms-causes/syc-20350716
Answered 10/16/2021
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