<s>[INST] The past few days I started having severe pain on my back on the right side it s midway down my back and it feels like its inside. I have a long history of back pain but this is completely different when I get up from a laying or sitting position it actual takes my breath away and the pain worsens. I thought I might have pulled a muscle but it s getting worse each day. [/INST] In my opinion you firstly you should get an MRI of your Lumbar-sacral spine done. For immediate relief have some pain killer and some good muscle relaxant. Do not lie down on soft mattress use hard one instead. When getting up from bed always take a lateral position first then hang your legs down first and then get up. DO not strain your self or over exert. Take complete bed rest for 2 weeks just walk in room and come and lie down. After 2 weeks start with some back strengthening exercises. Do some hot fermentation if pain is unbearable. You will be fine in 2 weeks. </s>