<s>[INST] I keep getting back pain for a couple years now. Lower and upper. I wake up in the middle of the night because my back hurts. Sometimes it hurts to breathe. When i stretch it, it feels good for the moment then it just hurts again. What could be wrong? or what should i do? [/INST] Hellowelcome to ChatDoctorwell you are suffering from disc prolapse which is responsible for your long term pain and stiffness in the back if I were your treating doctor, i would have advised you to get an MRI OF SPINE to get to know how many discs are involved and the degree of prolapse, in the meantime I would have advised you the following treatment and instructions- (1) TABLET ETORICOXIB 60 mg two times a day after meals(2) TABLET TIZANIDINE 2 mg three times a day after meals(3) CAPSULE MEGANEWTON 1500 mcg once daily in the morning(4) HOT FOMENTATION for 15 minutes in the region of pain 2-3 times daily for 1 week(5) use a LUMBAR BELT throughout the day except during sleeping(6) use a HARD MATTRESS/BED for sleeping(7) avoid standing for long hours/ Chat Doctor. ...any good physiotherapist can teach you the specific back/spinal exercises which you can then do at home regularly and include those exercises in your daily routine...remember, in the beginning you might feel lazy to do exercises but remember medicines can only provide short term relief and permanent relief can only be obtained by strengthening your back by exercising regularly take care Chat Doctor. </s>